Provider Demographics
NPI:1174719132
Name:ERIC TOBIAS HELMS
Entity type:Organization
Organization Name:ERIC TOBIAS HELMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:TOBIAS
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:336-434-7844
Mailing Address - Street 1:207 BALFOUR DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-3117
Mailing Address - Country:US
Mailing Address - Phone:336-434-7844
Mailing Address - Fax:336-434-7855
Practice Address - Street 1:207 BALFOUR DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-3117
Practice Address - Country:US
Practice Address - Phone:336-434-7844
Practice Address - Fax:336-434-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-23
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC070429261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2881000Medicare PIN