National Provider Identifier Database

30 CHIROPRACTIC
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

30 CHIROPRACTIC
616 INDIAN TRAIL RD S
INDIAN TRAIL, NC28079-9680
Phone: 704-821-5000
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for 30 CHIROPRACTIC

NPI Number 1992063861
Legal business name
LBN
30 CHIROPRACTIC
Authorized official JOHN MONBARREN - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/30/2012
Last updated 04/30/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 3197
  • NC Medicaid: 5900344

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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