Provider Demographics
NPI:1083580930
Name:NONE OF YOUR EARS WAX
Entity type:Organization
Organization Name:NONE OF YOUR EARS WAX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBIN
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:912-312-4975
Mailing Address - Street 1:11226 GRENFELL AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-2471
Mailing Address - Country:US
Mailing Address - Phone:704-931-8716
Mailing Address - Fax:216-343-4786
Practice Address - Street 1:11226 GRENFELL AVENUE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-931-8716
Practice Address - Fax:216-343-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center