Healthcare Provider Details

I. General information

NPI: 1942336441
Provider Name (Legal Business Name): CARL E MCCURDY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325B ELM AVE SE
ROANOKE VA
24013-1723
US

IV. Provider business mailing address

325 ELM AVE SE
ROANOKE VA
24013-1723
US

V. Phone/Fax

Practice location:
  • Phone: 540-343-5567
  • Fax:
Mailing address:
  • Phone: 540-343-5567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. CARL E MCCURDY
Title or Position: OWNER & PRESIDENT
Credential: NBC-HIS
Phone: 540-343-5567