Organization
BRAD MCMILLIN, INC
Active
Other names
Beltone Hearing Aid Service
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY MCCUBBINS (ACCOUNTS RECEIVABLE)
(618) 624-4471
Entity
Organization
Contact information
Practice address
1707 E MAIN ST STE 6, OLNEY, IL 62450-3156
(618) 395-6300
(618) 395-6300
Mailing address
1707 E MAIN ST STE 6, OLNEY, IL 62450-3156
(618) 395-6300
(618) 395-6300
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8215212
BC/BS OF ILLINOIS
IL
Enumeration date
01/25/2008
Last updated
04/22/2009
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