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DMB CHIROPRACTIC PLLC NPI 1770873903


NPI Information

NPI: 1770873903
Provider Name: DMB CHIROPRACTIC PLLC

Doing Business As: KEITH CLINIC OF CHIROPRACTIC, PA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7701 SHARON LAKES RD
STE 1
CHARLOTTE, NC
ZIP 28210
Phone: (704) 553-1950
Get Directions

DMB CHIROPRACTIC PLLC 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. DMB CHIROPRACTIC PLLC NPI is 1770873903. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keith Clinic Of Chiropractic, Pa.

The provider's business location address is:

7701 SHARON LAKES RD
STE 1
CHARLOTTE, NC
ZIP 28210-700
Phone: (704) 553-1950
Fax: (704) 553-1951

The provider's authorized official is Dwayne Allen Brouse .
The authorized official title is Owner and has the following contact phone number (704) 553-1950.

The enumeration date for this NPI number is 4/8/2011 and was last updated on 10/10/2023.


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
1111N00000XChiropractor3389NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150908981MEDICAIDNORTH 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

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