Healthcare Provider Details

I. General information

NPI: 1326184938
Provider Name (Legal Business Name): DE MCVEY ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 WEST UNION STREET
ATHENS OH
45701-2313
US

IV. Provider business mailing address

275 WEST UNION STREET
ATHENS OH
45701-2313
US

V. Phone/Fax

Practice location:
  • Phone: 740-594-3571
  • Fax: 740-592-2212
Mailing address:
  • Phone: 740-594-3571
  • Fax: 740-592-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA00238
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA00238
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number01419
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberWV0269
License Number StateWV
# 5
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA01953
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA01741
License Number StateOH

VIII. Authorized Official

Name: BETHANY P GONCZY
Title or Position: OWNER
Credential: AU.D.
Phone: 740-594-3571