Healthcare Provider Details
I. General information
NPI: 1649615741
Provider Name (Legal Business Name): HEARING SOLUTIONS OF NORTH CAROLINA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2013
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
464 JAKE ALEXANDER BLVD W
SALISBURY NC
28147-1365
US
IV. Provider business mailing address
464 JAKE ALEXANDER BLVD W
SALISBURY NC
28147-1365
US
V. Phone/Fax
- Phone: 704-633-0023
- Fax:
- Phone: 704-633-0023
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LORIN
S
ODEN
Title or Position: OWNER
Credential: AU.D
Phone: 704-633-0023