Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 3729 | NC |
NPI | 1134204258 |
---|---|
Provider Name | Dr. Eric B. Vanhuss |
First Address | Charlotte, NC 28211-3547 |
Second Address | Charlotte, NC 28211-3547 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |