Provider Demographics
NPI:1720375868
Name:R.D.ADKINS AND ASSOICIATES LLC
Entity Type:Organization
Organization Name:R.D.ADKINS AND ASSOICIATES LLC
Other - Org Name:N.E. OKLAHOMA HEARING AID CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS OKLAHOMA 619
Authorized Official - Phone:918-786-4565
Mailing Address - Street 1:PO BOX 451506
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74345-1506
Mailing Address - Country:US
Mailing Address - Phone:918-786-4565
Mailing Address - Fax:918-786-4531
Practice Address - Street 1:1008 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-2864
Practice Address - Country:US
Practice Address - Phone:918-786-4565
Practice Address - Fax:918-786-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK619332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment