National Provider Identifier Database

BLUE RIDGE HEALTH AND SPINE 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

BLUE RIDGE HEALTH AND SPINE, PLLC
4911 BRIDGERS ROAD
SHALLOTTE, NC28470-4474
Phone: 910-755-5483
Fax: 910-755-5484
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE HEALTH AND SPINE, PLLC

NPI Number 1497204101
Legal business name
LBN
BLUE RIDGE HEALTH AND SPINE, PLLC
Authorized official MONIQUE WEDDLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/23/2016
Last updated 09/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 4536
  • NC Medicaid: 1184022899

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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