Provider Demographics
NPI:1851623854
Name:THE HEARING FACTORY INC.
Entity Type:Organization
Organization Name:THE HEARING FACTORY INC.
Other - Org Name:DBA BELTONE HEARING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:FLOYD
Authorized Official - Last Name:KUTIK
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING SPECIALIST F
Authorized Official - Phone:561-307-5005
Mailing Address - Street 1:15815 MENTON BAY CT.
Mailing Address - Street 2:
Mailing Address - City:DEL RAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446
Mailing Address - Country:US
Mailing Address - Phone:561-307-5005
Mailing Address - Fax:
Practice Address - Street 1:4337 E MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87402-8633
Practice Address - Country:US
Practice Address - Phone:505-564-2900
Practice Address - Fax:505-564-2901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELTONE HEARING CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-02
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM10-00005796332S00000X
FLAS0002426332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment