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Contact Information

THE WELLNESS CENTER OF THE OUTER BANKS INC
3723 N. CROATAN HWY
UNIT G
KITTY HAWK, NC27949
 Phone: 252-261-5424
 Fax: 252-261-5324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THE WELLNESS CENTER OF THE OUTER BANKS INC

NPI # 1326360371
LBN Legal business name THE WELLNESS CENTER OF THE OUTER BANKS INC
Authorized official DANIEL GOLDBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2010
Last updated 02/18/2010 - About 16 years ago
Identifiers
NC License # 1672
NC Medicaid 890844A
NC Other 0844A BLUE CROSS BLUE SHIELD OF NC
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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