Provider Demographics
NPI:1285460550
Name:TERAN, MARCO A
Entity type:Individual
Prefix:
First Name:MARCO
Middle Name:A
Last Name:TERAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 HENDERSONVILLE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3055
Mailing Address - Country:US
Mailing Address - Phone:828-298-2070
Mailing Address - Fax:
Practice Address - Street 1:1636 HENDERSONVILLE RD STE 185
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3055
Practice Address - Country:US
Practice Address - Phone:828-298-2070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1683237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist