National Provider Identifier Database

ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE PLLC
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

ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC
7928 COUNCIL PL STE 116
MATTHEWS, NC28105-5154
Phone: 269-598-7603
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Independent Medical Examiner 111NI0013X

* Indicates primary specialty

NPI Profile & details for ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC

NPI Number 1396263513
Legal business name
LBN
ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC
Authorized official MARY SHAFER - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/08/2017
Last updated 09/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 4259
  • NC License #: 4279
  • NC Medicaid: 1609141571
  • NC Medicaid: 1679837660

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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