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Contact Information

DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC
4707 SOUTH BLVD
CHARLOTTE, NC28217-2117
 Phone: 704-525-6288
 Fax: 704-525-6384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DYNAMIC HEALTH AND PAIN MANAGEMENT PLLC · (Female)

NPI # 1538452982
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2011
Last updated 05/09/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 222692
  • NC License # 9900407
  • NC Other 6558080001 MEDICARE DME PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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