Provider Demographics
NPI:1164746517
Name:HEALY, INC
Entity Type:Organization
Organization Name:HEALY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:704-641-8513
Mailing Address - Street 1:PO BOX 78619
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28271-7037
Mailing Address - Country:US
Mailing Address - Phone:704-641-8513
Mailing Address - Fax:866-741-8485
Practice Address - Street 1:733 PLANTATION ESTATES DRIVE
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-9179
Practice Address - Country:US
Practice Address - Phone:704-845-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC243-059Medicare PIN
NCU29292Medicare UPIN