Provider Demographics
NPI:1881099331
Name:BELTONE HEARING CENTERS OF MARYLAND LLC
Entity type:Organization
Organization Name:BELTONE HEARING CENTERS OF MARYLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-568-8061
Mailing Address - Street 1:611 FREDERICK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4781
Mailing Address - Country:US
Mailing Address - Phone:410-744-2580
Mailing Address - Fax:410-744-2582
Practice Address - Street 1:611 FREDERICK RD STE 103
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4781
Practice Address - Country:US
Practice Address - Phone:410-744-2580
Practice Address - Fax:410-744-2582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03837592237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty