Provider Demographics
NPI:1831499508
Name:ABQ SPECIALTY HEARING COMPANY, LLC
Entity Type:Organization
Organization Name:ABQ SPECIALTY HEARING COMPANY, LLC
Other - Org Name:BELTONE HEARING CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:H.I.S OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:TORRES
Authorized Official - Last Name:LESPERANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-890-7600
Mailing Address - Street 1:9384 VALLEY VIEW DR NW
Mailing Address - Street 2:STE 400
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4403
Mailing Address - Country:US
Mailing Address - Phone:505-890-7600
Mailing Address - Fax:505-890-7700
Practice Address - Street 1:9384 VALLEY VIEW DR NW
Practice Address - Street 2:STE 400
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4403
Practice Address - Country:US
Practice Address - Phone:505-890-7600
Practice Address - Fax:505-890-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0717332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment