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Contact Information

JOHN S BOCCELLA, D.C.
10931 STRICKLAND RD
SUITE 131
RALEIGH, NC27615-2085
 Phone: 919-518-1234
 Fax: 919-518-0878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN S BOCCELLA · (Male)

NPI Number 1063413771
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/03/2005
Last updated 12/23/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2196
  • NC Medicaid 890829C
  • NC Other 5754696 AETNA
  • NC Other 0829C BCBSNC
  • NY Other 350045059 RAILROAD MEDICARE
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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