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Contact Information

BRADHAM CHIROPRACTIC CLINIC, PA
407-K EAST JACKSON BLVD.
ERWIN, NC28339-9628
 Phone: 910-892-1119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADHAM CHIROPRACTIC CLINIC, PA

NPI # 1578658514
LBN Legal business name BRADHAM CHIROPRACTIC CLINIC, PA
Authorized official DAVID BRADHAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 2481
NC Medicaid 8902671
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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