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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BANNON CLINIC OF CHIROPRACTIC, PA

NPI # 1891885851
LBN Legal business name BANNON CLINIC OF CHIROPRACTIC, PA
Authorized official TIMOTHY BANNON - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 09/08/2010 - About 16 years ago
Identifiers
NC License # 2804
NC Medicaid 890842V
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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