National Provider Identifier Database

ACTIVE CAROLINA SPORTS AND SPINE INC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ACTIVE CAROLINA SPORTS AND SPINE, INC.
10440 PARK RD
SUITE 200
CHARLOTTE, NC28210-8504
Phone: 704-541-7499
Fax: 704-541-5565
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE CAROLINA SPORTS AND SPINE, INC.

NPI Number 1346590049
Legal business name
LBN
ACTIVE CAROLINA SPORTS AND SPINE, INC.
Authorized official RYAN DANNER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/11/2012
Last updated 11/21/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 3881
  • SC License #: 3404

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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