MEDICARE: EAR RX, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1801936356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAR RX, INC.

Provider Business Mailing Address
First Line	:	7903 PROVIDENCE RD
Second Line	:	STE 160
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-9720
Country	:	US
Telephone Number	:	704-540-7622
Fax Number	:	704-540-7629

Provider Business Practice Location Address
First Line	:	7903 PROVIDENCE RD
Second Line	:	STE 160
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-9720
Country	:	US
Telephone Number	:	704-540-7622
Fax Number	:	704-540-7629

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRUCE LE
Credential	:
Telephone Number	:	704-540-7622

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

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Directions to “EAR RX, INC. ” Practice Location

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