TRIAD PRO HEALTH CHIROPRACTIC NPI 1366849960

NPI Information

NPI: 1366849960
Provider Name: TRIAD PRO HEALTH CHIROPRACTIC

Former Legal Business Name: STEVENS CHIROPRACTIC & WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1802 MARTIN LUTHER KING PARKWAY
SUITE 107
DURHAM, NC
ZIP 27707
Phone: (919) 401-5061
Get Directions

TRIAD PRO HEALTH CHIROPRACTIC is a chiropractor in Durham, 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. TRIAD PRO HEALTH CHIROPRACTIC NPI is 1366849960. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Stevens Chiropractic & Wellness Center.

The provider's business location address is:

1802 MARTIN LUTHER KING PARKWAY
SUITE 107
DURHAM, NC
ZIP 27707-586
Phone: (919) 401-5061
Fax: (919) 401-8253

The provider's authorized official is Fritz G. Mesilien .
The authorized official title is Owner/chiropractor and has the following contact phone number (919) 401-5061.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.

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		4491	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	1073914511	OTHER	NORTH CAROLINA	NATIONAL PROVIDER NUMBER

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

NPI Synchronization or Removal

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