Organization
SOUTHEAST WISCONSIN HEARING, LLC
Active
Other names
Beltone of Racine & Kenosha
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN KAY DYKSTRA B.C., H.I.S. (PRESIDENT)
(262) 637-5668
Entity
Organization
Contact information
Practice address
5200 WASHINGTON AVE, STE 102, RACINE, WI 53406-4238
(262) 637-5668
(262) 637-5009
Mailing address
5200 WASHINGTON AVE, STE 102, RACINE, WI 53406-4238
(262) 637-5668
(262) 637-5009
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
402
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42812800
—
WI
Enumeration date
01/04/2011
Last updated
01/04/2011
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