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Contact Information

BANNON CLINIC OF CHIROPRACTIC, PA
1002 S NEW HOPE RD
GASTONIA, NC28054-3801
 Phone: 704-864-7774
 Fax: 704-810-8998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BANNON CLINIC OF CHIROPRACTIC PA · (Female)

NPI # 1891885851
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2006
Last updated 09/08/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 2804
  • NC Medicaid 890842V
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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