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DICKSON CLINIC OF CHIROPRACTIC PA NPI 1922106863


NPI Information

NPI: 1922106863
Provider Name: DICKSON CLINIC OF CHIROPRACTIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2909 REYNOLDA RD
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 777-8450
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DICKSON CLINIC OF CHIROPRACTIC PA is a chiropractor in Winston Salem, NC. The provider is 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. DICKSON CLINIC OF CHIROPRACTIC PA NPI is 1922106863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2909 REYNOLDA RD
WINSTON SALEM, NC
ZIP 27106-048
Phone: (336) 777-8450
Fax: (336) 777-8435

The provider's authorized official is Thomas A Dickson .
The authorized official title is Owner and has the following contact phone number (336) 777-8540.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1245NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1244366MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE
28908351MEDICAIDNORTH CAROLINA
3T64414MEDICARE UPINNORTH CAROLINA
408351OTHERNORTH CAROLINABLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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