Healthcare Provider Details

I. General information

NPI: 1801855333
Provider Name (Legal Business Name): PATRICK HOOLIHAN AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 06/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 UNIVERSITY EAST DR
CHARLOTTE NC
28213-4353
US

IV. Provider business mailing address

8601 UNIVERSITY EAST DR
CHARLOTTE NC
28213-4353
US

V. Phone/Fax

Practice location:
  • Phone: 704-597-3500
  • Fax:
Mailing address:
  • Phone: 704-597-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: