PUSTAVER CHIROPRACTIC CARE PA NPI 1831492628

NPI Information

  • NPI: 1831492628
  • Provider Name: PUSTAVER CHIROPRACTIC CARE PA
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 4213 MATTHEWS MINT HILL RD
    MATTHEWS, NC
    ZIP 28105
  • Phone: (704) 573-2400

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NPI Details

PUSTAVER CHIROPRACTIC CARE PA is a preferred provider organization in Matthews, NC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PUSTAVER CHIROPRACTIC CARE PA NPI is 1831492628. The provider is registered as an organization entity type.

The provider's business location address is:

4213 MATTHEWS MINT HILL RD
MATTHEWS, NC
ZIP 28105-634
Phone: (704) 573-2400
Fax: (704) 573-1070

The provider's authorized official is Lauren Shipman .
The authorized official title is Treating Ca and has the following contact phone number (704) 573-2400.

The enumeration date for this NPI number is 12/16/2010 and was last updated on 2/22/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization1509NORTH 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
1T63045MEDICARE UPINNORTH CAROLINA
25900047MEDICAIDNORTH 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: 11/21/2025

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