Provider Demographics
NPI:1952868135
Name:BELTONE HOLDINGS III, INC.
Entity Type:Organization
Organization Name:BELTONE HOLDINGS III, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, LEGAL SVS./ASSISTANT SEC'Y
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GINENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-832-3300
Mailing Address - Street 1:2601 PATRIOT BOULEVARD
Mailing Address - Street 2:ATTN: LISA GINENSKY
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026
Mailing Address - Country:US
Mailing Address - Phone:847-832-3300
Mailing Address - Fax:
Practice Address - Street 1:2601 PATRIOT BOULEVARD
Practice Address - Street 2:ATTN: LISA GINENSKY
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-832-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GN HEARING CARE CORP. DBA/ BELTONE ELECTRONICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000OtherWE DO NOT HAVE OTHER PROVIDER IDENTIFIERS