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Contact Information

GOTRO CHIROPRACTIC OF INDIAN TRAIL
13803 INDEPENDENCE BLVD STE E
INDIAN TRAIL, NC28079-7680
 Phone: 704-882-0192
 Fax: 704-882-0612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GOTRO CHIROPRACTIC OF INDIAN TRAIL

NPI # 1801959580
LBN Legal business name GOTRO CHIROPRACTIC OF INDIAN TRAIL
Authorized official HUGH GOTRO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 02/07/2012 - About 14 years ago
Identifiers
NC License # 2080
NC Medicaid 890253K
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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