PROACTIVE CHIROPRACTIC PA NPI 1700070075

NPI Information

  • NPI: 1700070075
  • Provider Name: PROACTIVE CHIROPRACTIC PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 300 E JOHN ST STE 130
    MATTHEWS, NC
    ZIP 28105
  • Phone: (704) 849-8171

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NPI Details

PROACTIVE CHIROPRACTIC PA is a chiropractor in Matthews, 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. PROACTIVE CHIROPRACTIC PA NPI is 1700070075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 E JOHN ST STE 130
MATTHEWS, NC
ZIP 28105-939
Phone: (704) 849-8171

The provider's authorized official is Michael S Guerriero .
The authorized official title is President and has the following contact phone number (704) 849-8171.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.

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
1111N00000XChiropractor3121NORTH 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
189085MHMEDICAIDNORTH CAROLINA
278119OTHERNORTH CAROLINAUPIN
39363857OTHERNORTH CAROLINAPHCS
4085MHOTHERNORTH CAROLINABCBS
5623832OTHERNORTH CAROLINAACN
61C2332624MEDICARE PINNORTH CAROLINA
77248444OTHERNORTH CAROLINAAETNA

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: 11/21/2025

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