Provider Demographics
NPI:1831558535
Name:BETTYE BESS CRITICS CHOICE
Entity type:Organization
Organization Name:BETTYE BESS CRITICS CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTYE
Authorized Official - Middle Name:
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-321-1280
Mailing Address - Street 1:3750 BENDEMEER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1919
Mailing Address - Country:US
Mailing Address - Phone:216-299-9280
Mailing Address - Fax:216-503-4641
Practice Address - Street 1:3750 BENDEMEER RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1919
Practice Address - Country:US
Practice Address - Phone:216-299-9280
Practice Address - Fax:216-503-4641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
OH830795335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment