Provider Demographics
NPI:1548540164
Name:ERIC A GINTER DC LLC
Entity type:Organization
Organization Name:ERIC A GINTER DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-851-1515
Mailing Address - Street 1:930 SE CARY PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7419
Mailing Address - Country:US
Mailing Address - Phone:919-851-1515
Mailing Address - Fax:919-851-1518
Practice Address - Street 1:930 SE CARY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7419
Practice Address - Country:US
Practice Address - Phone:919-851-1515
Practice Address - Fax:919-851-1518
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERIC A GINTER DC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty