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CHAVIS CHIROPRACTIC CLINIC OF MONROE P.A. NPI 1790919637


NPI Information

NPI: 1790919637
Provider Name: CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1518 SARATOGA BLVD
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 628-0378
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CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A. is a medical specialty clinic center in Indian Trail, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A. NPI is 1790919637. The provider is registered as an organization entity type.

The provider's business location address is:

1518 SARATOGA BLVD
INDIAN TRAIL, NC
ZIP 28079-749
Phone: (704) 628-0378
Fax: (704) 282-0317

The provider's authorized official is Matthew Chavis .
The authorized official title is President and has the following contact phone number (704) 283-5599.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 2/2/2011.


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
1261QM2500XClinic/CenterMedical Specialty3103NORTH 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
189085M6MEDICAIDNORTH CAROLINA
2085M6OTHERNORTH CAROLINABLUE CROSS/BLUE SHIELD
32455493BOTHERNORTH CAROLINAMEDICARE
42455493CMEDICARE PINNORTH 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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