National Provider Identifier Database

BANNON CLINIC OF CHIROPRACTIC PA
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

BANNON CLINIC OF CHIROPRACTIC, PA
1002 S NEW HOPE RD
GASTONIA, NC28054-3801
Phone: 704-864-7774
Fax: 704-810-8998
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BANNON CLINIC OF CHIROPRACTIC, PA

NPI Number 1891885851
Legal business name
LBN
BANNON CLINIC OF CHIROPRACTIC, PA
Authorized official TIMOTHY BANNON - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 10/13/2006
Last updated 09/08/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 2804
  • NC Medicaid: 890842V

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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