Provider Demographics
NPI:1861733776
Name:GN HEARING CARE CORP
Entity type:Organization
Organization Name:GN HEARING CARE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:THOMS
Authorized Official - Last Name:DUNFORD
Authorized Official - Suffix:
Authorized Official - Credentials:BSBA NBC-HIS
Authorized Official - Phone:336-389-1515
Mailing Address - Street 1:1614 W FRIENDLY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-4540
Mailing Address - Country:US
Mailing Address - Phone:336-389-1515
Mailing Address - Fax:
Practice Address - Street 1:1614 W FRIENDLY AVE
Practice Address - Street 2:STE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4539
Practice Address - Country:US
Practice Address - Phone:336-389-1515
Practice Address - Fax:336-389-1510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GN HEARING CARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC401332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC237700000XOtherTAXONOMY NUMBER