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Contact Information

910 CHIROPRACTIC PC
108 CHARLIE MEDLIN DR STE E
SURF CITY, NC28445-7921
 Phone: 910-702-4476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for 910 CHIROPRACTIC PC

NPI Number 1255043766
LBN Legal business name 910 CHIROPRACTIC PC
Authorized official JONATHAN AMDUR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2022
Last updated 12/27/2022 - About 3 years ago
Identifiers n/a
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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