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Contact Information

JOHN A SMITH, DC, CCSP, PA
2926 CAPITAL BLVD
RALEIGH, NC27604-3235
 Phone: 919-878-8848
 Fax: 919-878-8863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN A SMITH, DC, CCSP, PA

NPI Number 1689779647
LBN Legal business name JOHN A SMITH, DC, CCSP, PA
Authorized official JOHN SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 1412
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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