Healthcare Provider Details

I. General information

NPI: 1932408689
Provider Name (Legal Business Name): MICHAEL R DELLINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 E MOREHEAD ST STE 200
CHARLOTTE NC
28202-2700
US

IV. Provider business mailing address

817 E MOREHEAD ST STE 200
CHARLOTTE NC
28202-2700
US

V. Phone/Fax

Practice location:
  • Phone: 704-295-0001
  • Fax:
Mailing address:
  • Phone: 704-295-0001
  • 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: