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Contact Information

LAKE NORMAN CHIROPRACTIC CENTER
612 N MAIN ST
MOORESVILLE, NC28115-2312
 Phone: 704-664-3455
 Fax: 704-664-2827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAKE NORMAN CHIROPRACTIC CENTER

NPI # 1801832811
LBN Legal business name LAKE NORMAN CHIROPRACTIC CENTER
Authorized official TODD ABERNATHY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 10/06/2011 - About 15 years ago
Identifiers
NC Medicaid 89085A6
NC Other 617420 ACN
NC Other 7741266 AETNA
NC Other 53164 AWHN
NC Other 085A6 BCBS INDIVIDUAL
NC Other 5909823002 CIGNA PAL
NC Other 0194L CNC (BCBS)
NC Other 4881 PARTNERS GROUP
NC Other 43954 PARTNERS INDIVIDUAL
NC Other 208640 QUAILCHOICE
NC Other 350053151 RAILROAD MEDICARE
NC Other 42162996 WAUSAU
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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