Healthcare Provider Details

I. General information

NPI: 1396368049
Provider Name (Legal Business Name): RONALD BINKLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 02/13/2024
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 E. MOREHEAD ST. SUITE 100
CHARLOTTE NC
28202-2767
US

IV. Provider business mailing address

817 E. MOREHEAD ST. SUITE 100
CHARLOTTE NC
28202-2767
US

V. Phone/Fax

Practice location:
  • Phone: 704-523-8027
  • Fax: 704-523-8031
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: