Provider Demographics
NPI:1962537571
Name:HELMS, DEBORAH DAVIS
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DAVIS
Last Name:HELMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 HEATHER GLEN RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-9433
Mailing Address - Country:US
Mailing Address - Phone:704-933-5492
Mailing Address - Fax:
Practice Address - Street 1:1675 HEATHER GLEN RD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-9433
Practice Address - Country:US
Practice Address - Phone:704-933-5492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7001510237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7001510OtherHEARING AID DISPENSER