Healthcare Provider Details

I. General information

NPI: 1881663706
Provider Name (Legal Business Name): BELTONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S KELLY AVE SUITE B
EDMOND OK
73003-5697
US

IV. Provider business mailing address

610 S KELLY AVE SUITE B
EDMOND OK
73003-5697
US

V. Phone/Fax

Practice location:
  • Phone: 405-340-1400
  • Fax: 405-340-0619
Mailing address:
  • Phone: 405-340-1400
  • Fax: 405-340-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: RON BUTTS
Title or Position: MANAGER
Credential:
Phone: 405-340-1400