Organization
DE MCVEY ENTERPRISES INC
Active
Other names
Diles Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY P GONCZY AU.D. (OWNER)
(740) 594-3571
Entity
Organization
Contact information
Practice address
275 WEST UNION STREET, ATHENS, OH 45701-2313
(740) 594-3571
(740) 592-2212
Mailing address
275 WEST UNION STREET, ATHENS, OH 45701-2313
(740) 594-3571
(740) 592-2212
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A00238
OH
231H00000X
Audiologist
Primary
A01741
OH
231H00000X
Audiologist
A01953
OH
231H00000X
Audiologist
WV0269
WV
237600000X
Audiologist-Hearing Aid Fitter
A00238
OH
237700000X
Hearing Instrument Specialist
01419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155161
ANTHEM BCBS
—
05
—
0214842
—
OH
01
—
292506919001
MEDICAL MUTUAL
—
05
—
3810000989
—
WV
01
—
P00093715
RAILROAD MEDICARE
—
Enumeration date
01/30/2007
Last updated
04/29/2016
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