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INDIAN TRAIL SPECIFIC CHIROPRACTIC INC NPI 1073528899


NPI Information

NPI: 1073528899
Provider Name: INDIAN TRAIL SPECIFIC CHIROPRACTIC INC

Doing Business As: CAROLINAS FAMILY SPINE CENTER

Classification: Chiropractor - 111NT0100X
Entity Type: Organization

Specialization: Thermography

Address:
14015 INDEPENDENCE BLVD STE D
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 882-1488
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INDIAN TRAIL SPECIFIC CHIROPRACTIC INC is a thermography chiropractor in Indian Trail, NC. The provider is the National Uniform Claim Committee (NUCC) recommends code 111NT0100X not be used. Choose a more appropriate code. INDIAN TRAIL SPECIFIC CHIROPRACTIC INC NPI is 1073528899. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Family Spine Center.

The provider's business location address is:

14015 INDEPENDENCE BLVD STE D
INDIAN TRAIL, NC
ZIP 28079-668
Phone: (704) 882-1488
Fax: (704) 882-1448

The provider's authorized official is Corinne Easterling Weaver .
The authorized official title is President and has the following contact phone number (704) 882-1488.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 3/30/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NT0100XChiropractorThermography3225NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12457097MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
2015PPMEDICARE UPINNORTH CAROLINA
389015PPMEDICAIDNORTH CAROLINA

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: 5/5/2024

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