Provider Demographics
NPI:1881663706
Name:BELTONE
Entity Type:Organization
Organization Name:BELTONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-340-1400
Mailing Address - Street 1:610 S KELLY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5697
Mailing Address - Country:US
Mailing Address - Phone:405-340-1400
Mailing Address - Fax:405-340-0619
Practice Address - Street 1:610 S KELLY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-5697
Practice Address - Country:US
Practice Address - Phone:405-340-1400
Practice Address - Fax:405-340-0619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment