Provider Demographics
NPI:1801936356
Name:EAR RX, INC.
Entity type:Organization
Organization Name:EAR RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-540-7622
Mailing Address - Street 1:7903 PROVIDENCE RD
Mailing Address - Street 2:STE 160
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9720
Mailing Address - Country:US
Mailing Address - Phone:704-540-7622
Mailing Address - Fax:704-540-7629
Practice Address - Street 1:7903 PROVIDENCE RD
Practice Address - Street 2:STE 160
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-9720
Practice Address - Country:US
Practice Address - Phone:704-540-7622
Practice Address - Fax:704-540-7629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty