Provider Demographics
NPI:1962825224
Name:NC CORP EHS, INC
Entity Type:Organization
Organization Name:NC CORP EHS, INC
Other - Org Name:EARHEART HEALTHY WEIGHT LOSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-833-3156
Mailing Address - Street 1:126 S SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3777
Mailing Address - Country:US
Mailing Address - Phone:210-833-3256
Mailing Address - Fax:
Practice Address - Street 1:126 S SPRUCE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3777
Practice Address - Country:US
Practice Address - Phone:210-833-3256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center