Provider Type Icon

CRABTREE CHIROPRACTIC CENTER PA NPI 1114946332


NPI Information

NPI: 1114946332
Provider Name: CRABTREE CHIROPRACTIC CENTER, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4517 LEAD MINE RD
RALEIGH, NC
ZIP 27612
Phone: (919) 781-8830
Get Directions

CRABTREE CHIROPRACTIC CENTER, PA is a chiropractor in Raleigh, 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. CRABTREE CHIROPRACTIC CENTER, PA NPI is 1114946332. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4517 LEAD MINE RD
RALEIGH, NC
ZIP 27612-326
Phone: (919) 781-8830
Fax: (919) 781-1678

The provider's authorized official is Charles B Kubasko .
The authorized official title is Owner and has the following contact phone number (919) 781-8830.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/10/2009.


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
1111N00000XChiropractorNORTH CAROLINANo
2111N00000XChiropractorYes

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
1890821FMEDICAIDNORTH CAROLINA
22344953MEDICARE PIN
30821FOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
42344953MEDICARE ID-TYPE UNSPECIFIEDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.