1447428685 NPI number — CAROLINA HEARING SERVICES, INC.

Table of content: MS. MOLLY ENDERS MS, LAC (NPI 1619104304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447428685 NPI number — CAROLINA HEARING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLINA HEARING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447428685
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1543 ASHLEY RIVER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29407-5201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-556-4327
Provider Business Mailing Address Fax Number:
843-556-2171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1543 ASHLEY RIVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29407-5201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-556-4327
Provider Business Practice Location Address Fax Number:
843-556-2171
Provider Enumeration Date:
02/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINE
Authorized Official First Name:
CATHERINE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
AUDIOLOGIST OWNER
Authorized Official Telephone Number:
843-556-4327

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  528 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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