Provider Demographics
NPI:1528232170
Name:MOREHOUSE, CHARLES R (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:R
Last Name:MOREHOUSE
Suffix:
Gender:M
Credentials:AUD
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Mailing Address - Street 1:400 UNIVERSITY HALL DRIVE
Mailing Address - Street 2:ROOM 120
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28608-2041
Mailing Address - Country:US
Mailing Address - Phone:828-262-2185
Mailing Address - Fax:828-262-6766
Practice Address - Street 1:400 UNIVERSITY HALL DRIVE
Practice Address - Street 2:ROOM 120
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-2041
Practice Address - Country:US
Practice Address - Phone:828-262-2185
Practice Address - Fax:828-262-6766
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2009-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC7415237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2699673Medicare UPIN