Healthcare Provider Details

I. General information

NPI: 1144227059
Provider Name (Legal Business Name): EAR RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18636 STARCREEK DR SUITE E
CORNELIUS NC
28031-9330
US

IV. Provider business mailing address

18636 STARCREEK DR SUITE E
CORNELIUS NC
28031-9330
US

V. Phone/Fax

Practice location:
  • Phone: 704-237-9100
  • Fax: 704-895-8883
Mailing address:
  • Phone: 704-237-9100
  • Fax: 704-895-8883

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: 704-237-9100