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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

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

NPI # 1346590049
LBN Legal business name ACTIVE CAROLINA SPORTS AND SPINE, INC.
Authorized official RYAN DANNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2012
Last updated 11/21/2012 - About 14 years ago
Identifiers
NC License # 3881
SC License # 3404
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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