National Provider Identifier Database

CENTENNIAL CHIROPRACTIC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

CENTENNIAL CHIROPRACTIC
4343 SHALLOWFORD RD
SUITE B6
MARIETTA, GA30062-5023
Phone: 770-649-1730
Fax: 770-649-1731
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CENTENNIAL CHIROPRACTIC

NPI Number 1811169378
Legal business name
LBN
CENTENNIAL CHIROPRACTIC
Authorized official MICHAEL MORIBALDI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/25/2008
Last updated 03/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: GA005452

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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