Provider Demographics
NPI:1346775244
Name:CAROLINA HEARING AND TINNITUS, PC
Entity type:Organization
Organization Name:CAROLINA HEARING AND TINNITUS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:704-213-7116
Mailing Address - Street 1:217 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2243
Mailing Address - Country:US
Mailing Address - Phone:704-213-7116
Mailing Address - Fax:
Practice Address - Street 1:217 W PARK AVE
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2243
Practice Address - Country:US
Practice Address - Phone:704-213-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12273332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment