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Contact Information

ACTIVE CAROLINA SPORTS AND SPINE, INC.
10440 PARK RD
SUITE 200
CHARLOTTE, NC28210-8504
 Phone: 704-541-7499
 Fax: 704-541-5565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE CAROLINA SPORTS AND SPINE INC · (Female)

NPI Number 1346590049
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2012
Last updated 11/21/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 3881
  • SC License # 3404
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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