Provider Demographics
NPI:1982002069
Name:TROY GREENWALD ENTERPRISES LLC
Entity Type:Organization
Organization Name:TROY GREENWALD ENTERPRISES LLC
Other - Org Name:BELTONE OF THE TRIANGLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:919-956-9996
Mailing Address - Street 1:2231 E MILLBROOK RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1746
Mailing Address - Country:US
Mailing Address - Phone:919-954-9996
Mailing Address - Fax:919-954-7511
Practice Address - Street 1:2231 E MILLBROOK RD
Practice Address - Street 2:SUITE 121
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1746
Practice Address - Country:US
Practice Address - Phone:919-954-9996
Practice Address - Fax:919-954-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN751237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty