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Contact Information

GARY P DACKOR DC INC
1701 NORTH SANDHILLS BLVD. SUITE D
ABERDEEN, NC28315
 Phone: 910-944-7889
 Fax: 910-944-0899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GARY P DACKOR DC INC

NPI Number 1154427318
LBN Legal business name GARY P DACKOR DC INC
Authorized official GARY DACKOR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 12/02/2011 - About 15 years ago
Identifiers
NC License # 695
NC Medicaid 8908332
NC Other 08332 BLUE CROSS BLUE SHIELD OF
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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