Provider Demographics
NPI:1528434792
Name:THBELNAP, LLC
Entity type:Organization
Organization Name:THBELNAP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:BELNAP
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:623-362-2800
Mailing Address - Street 1:14537 W GRAND AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-8649
Mailing Address - Country:US
Mailing Address - Phone:623-826-6440
Mailing Address - Fax:
Practice Address - Street 1:14537 W GRAND AVE
Practice Address - Street 2:STE 120
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8649
Practice Address - Country:US
Practice Address - Phone:623-826-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5385332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment