Provider Demographics
NPI:1063516490
Name:BELTONE LEDFORD HEARING AID SERVICE & AUDIOLOGY
Entity type:Organization
Organization Name:BELTONE LEDFORD HEARING AID SERVICE & AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LEDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-896-3989
Mailing Address - Street 1:727 J CLYDE MORRIS BLVD
Mailing Address - Street 2:STE F
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601
Mailing Address - Country:US
Mailing Address - Phone:757-596-2113
Mailing Address - Fax:757-596-5721
Practice Address - Street 1:727 J CLYDE MORRIS BLVD
Practice Address - Street 2:STE F
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601
Practice Address - Country:US
Practice Address - Phone:757-596-2113
Practice Address - Fax:757-596-5721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA814237600000X
VA197237700000X
VA1519237700000X
VA480237700000X
VA1596237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty