Provider Demographics
NPI:1245567056
Name:COASTAL HEARING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:COASTAL HEARING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTURMENT SPEICALIST/PRESI
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOGGS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:910-799-4327
Mailing Address - Street 1:2316 S 17TH ST
Mailing Address - Street 2:160
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7911
Mailing Address - Country:US
Mailing Address - Phone:910-799-4327
Mailing Address - Fax:910-799-4315
Practice Address - Street 1:2316 S 17TH ST
Practice Address - Street 2:160
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7911
Practice Address - Country:US
Practice Address - Phone:910-799-4327
Practice Address - Fax:910-799-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1198332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment