Provider Demographics
NPI:1891907457
Name:LEDNUM'S JEWELERS, INC.
Entity Type:Organization
Organization Name:LEDNUM'S JEWELERS, INC.
Other - Org Name:BELTONE LEDNUM HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:NOBLE
Authorized Official - Last Name:LEDNUM
Authorized Official - Suffix:III
Authorized Official - Credentials:MA
Authorized Official - Phone:443-521-0576
Mailing Address - Street 1:525 POPLAR ST
Mailing Address - Street 2:LEDNUM BUILDING
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1833
Mailing Address - Country:US
Mailing Address - Phone:410-228-1676
Mailing Address - Fax:410-228-7464
Practice Address - Street 1:525 POPLAR ST
Practice Address - Street 2:LEDNUM BUILDING
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1833
Practice Address - Country:US
Practice Address - Phone:410-228-1676
Practice Address - Fax:410-228-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201 001234231H00000X
MD01025237600000X
VA2101 001488237600000X
DE02-0000132237600000X
MD01059237700000X
VA2101 000030237700000X
MD02075237700000X
MD02417237700000X
DE231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDL204OtherCAREFIRST BC BS
MD226020OtherMAMSI UNITED HEALTHCARE