Organization
MOUNTAIN-EAR HEARING
Active
Parent organization
MOUNTAIN-EAR INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN-EAR INC
Authorized official
KIMBERLY QUEEN ROBERTS OWNER (OWNER)
(336) 692-7691
Entity
Organization
Contact information
Practice address
63 MONTICELLO RD, WEAVERVILLE, NC 28787-9441
(828) 484-8300
Mailing address
1632 S.MARBLEHEAD, LEWISVILLE, NC 27023
(336) 692-7691
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1188
NC
237700000X
Hearing Instrument Specialist
Primary
881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346508397
INDIVIDUAL NPI
NC
01
—
1518225556
INDIVIDUAL NPI
NC
Enumeration date
06/20/2012
Last updated
06/20/2012
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