Healthcare Provider Details

I. General information

NPI: 1801936356
Provider Name (Legal Business Name): EAR RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7903 PROVIDENCE RD STE 160
CHARLOTTE NC
28277-9720
US

IV. Provider business mailing address

7903 PROVIDENCE RD STE 160
CHARLOTTE NC
28277-9720
US

V. Phone/Fax

Practice location:
  • Phone: 704-540-7622
  • Fax: 704-540-7629
Mailing address:
  • Phone: 704-540-7622
  • Fax: 704-540-7629

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: MR. BRUCE LE
Title or Position: PRESIDENT
Credential:
Phone: 704-540-7622