NPI 1396887063 · live from the CMS NPI Registry
Brad Mcmillin INC
Audiologist-Hearing Aid Fitter in O Fallon, IL. National Provider Identifier 1396887063, active.
NPI record
| NPI | 1396887063 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 1415 W Us Highway 50, O Fallon, IL 62269 |
| Practice phone | 618-624-4471 |
| Enumerated | February 12, 2007 |
| Last updated | December 26, 2014 |
| Authorized official | Patty Mccubbins, Act Rec Manager |
| Other names | Beltone Hearing Aid Service |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing Aid Equipment | 332S00000X | 2023-7529 (IL) |
| Audiologist-Hearing Aid Fitter primary | 237600000X | 3184 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.