Provider Demographics
NPI:1336507441
Name:JCK HEARING AIDS LLC
Entity Type:Organization
Organization Name:JCK HEARING AIDS LLC
Other - Org Name:BELTONEHEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HIS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:KOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-797-2004
Mailing Address - Street 1:7090 N ORACLE RD STE 88
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4344
Mailing Address - Country:US
Mailing Address - Phone:520-797-2004
Mailing Address - Fax:520-797-2010
Practice Address - Street 1:7090 N ORACLE RD STE 88
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4344
Practice Address - Country:US
Practice Address - Phone:520-797-2004
Practice Address - Fax:520-797-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD8056332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment