Provider Demographics
NPI:1720229404
Name:CROSSING PATHS, LLC
Entity Type:Organization
Organization Name:CROSSING PATHS, LLC
Other - Org Name:BELTONE CAROLINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDEIROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-921-3320
Mailing Address - Street 1:931 JEFFERSON BLVD
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2234
Mailing Address - Country:US
Mailing Address - Phone:401-921-3320
Mailing Address - Fax:401-921-3327
Practice Address - Street 1:1701 N SANDHILLS BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2337
Practice Address - Country:US
Practice Address - Phone:910-944-8801
Practice Address - Fax:910-944-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC846A01332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment