Healthcare Provider Details

I. General information

NPI: 1336363340
Provider Name (Legal Business Name): DELAMATER BELTONE HEARIING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 WILSON RD SUITE A
BAKERSFIELD CA
93309-4703
US

IV. Provider business mailing address

4801 WILSON RD SUITE A
BAKERSFIELD CA
93309-4703
US

V. Phone/Fax

Practice location:
  • Phone: 661-832-5944
  • Fax: 661-832-4714
Mailing address:
  • Phone: 661-832-5944
  • Fax: 661-832-4714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA1945
License Number StateCA

VIII. Authorized Official

Name: MARY A DELAMATER
Title or Position: OWNER
Credential:
Phone: 661-832-5944