Organization
BRAD MCMILLIN INC
Active
Organization
BRAD MCMILLIN INC
Active
Other names
BELTONE HEARING AID SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY LEE MCCUBBINS (ACT REC MANAGER)
(618) 242-4920
Entity
Organization
Contact information
Practice address
1415 W US HIGHWAY 50, O FALLON, IL 62269-1618
(618) 624-4471
(618) 624-4496
Mailing address
1415 W US HIGHWAY 50, O FALLON, IL 62269-1618
(618) 624-4471
(618) 624-4496
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3184
IL
332S00000X
Hearing Aid Equipment
2023-7529
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8215212
BCBS OF ILLINOIS
IL
Enumeration date
02/12/2007
Last updated
12/26/2014
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