OM SPA CHIROPRACTIC & WELLNESSP.C. NPI 1699943548

NPI Information

NPI: 1699943548
Provider Name: OM SPA CHIROPRACTIC & WELLNESS,P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
523 FENTON PL
CHARLOTTE, NC
ZIP 28207
Phone: (704) 302-1524
Get Directions

OM SPA CHIROPRACTIC & WELLNESS,P.C. is a chiropractor in Charlotte, 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. OM SPA CHIROPRACTIC & WELLNESS,P.C. NPI is 1699943548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

523 FENTON PL
CHARLOTTE, NC
ZIP 28207-919
Phone: (704) 302-1524
Fax: (980) 875-9531

The provider's authorized official is Bryan Scott Edmiston .
The authorized official title is President and has the following contact phone number (704) 342-1100.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 7/19/2012.

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
1	111N00000X	Chiropractor				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	89085M2	MEDICAID	NORTH CAROLINA
2	U96247	MEDICARE UPIN	NORTH 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

NPI Synchronization or Removal

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