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Contact Information

LAKE NORMAN CHIROPRACTIC CENTER
612 N MAIN ST
MOORESVILLE, NC28115-2312
 Phone: 704-664-3455
 Fax: 704-664-2827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAKE NORMAN CHIROPRACTIC CENTER · (Female)

NPI # 1801832811
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2006
Last updated 10/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 89085A6
  • NC Other 617420 ACN
  • NC Other 7741266 AETNA
  • NC Other 53164 AWHN
  • NC Other 085A6 BCBS INDIVIDUAL
  • NC Other 5909823002 CIGNA PAL
  • NC Other 0194L CNC (BCBS)
  • NC Other 4881 PARTNERS GROUP
  • NC Other 43954 PARTNERS INDIVIDUAL
  • NC Other 208640 QUAILCHOICE
  • NC Other 350053151 RAILROAD MEDICARE
  • NC Other 42162996 WAUSAU
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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