HARRISBURG CHIROPRACTIC CLINIC INC. NPI 1124060686

NPI Information

NPI: 1124060686
Provider Name: HARRISBURG CHIROPRACTIC CLINIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12020 UNIVERSITY CITY BLVD
HARRISBURG, NC
ZIP 28075
Phone: (704) 455-2211
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HARRISBURG CHIROPRACTIC CLINIC, INC. is a chiropractor in Harrisburg, 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. HARRISBURG CHIROPRACTIC CLINIC, INC. NPI is 1124060686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12020 UNIVERSITY CITY BLVD
HARRISBURG, NC
ZIP 28075-466
Phone: (704) 455-2211
Fax: (704) 455-8246

The provider's authorized official is Andrew Segarra .
The authorized official title is President and has the following contact phone number (704) 455-2211.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 12/19/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		200001183349	NORTH CAROLINA	Yes

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
1	89085AG	MEDICAID	NORTH CAROLINA
2	U84187	MEDICARE UPIN	NORTH CAROLINA
3	085AG	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD NC
4	2454154A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MEDICARE #

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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