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Contact Information

COMPREHENSIVE CHIROPRACTIC CENTER, P.A.
1125 KILDAIRE FARM RD
CARY, NC27511-4566
 Phone: 919-467-7797
 Fax: 919-467-9272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE CHIROPRACTIC CENTER, P.A.

NPI # 1669578332
LBN Legal business name COMPREHENSIVE CHIROPRACTIC CENTER, P.A.
Authorized official IRA RUBIN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 03/15/2010 - About 16 years ago
Identifiers
NC License # 1714
NC Medicaid 7908541
NC Medicaid 890195M
NC Other 1982645552 INDIVIDUAL TYPE 1 NPI #
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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