Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 5965 | NC |
NPI | 1023280302 |
---|---|
Provider Name | Dr. Robert Christopher Verhelle |
First Address | Hickory, NC 28601-2487 |
Second Address | Hickory, NC 28601-2487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 27/03/2008 |