| De Health Partners Pc | |
|
4601 Park Rd Ste 100, Charlotte, NC 28209-2296 | |
| (045) 277-2467 | |
| (704) 527-3080 |
| Full Name | De Health Partners Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4601 Park Rd Ste 100, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356799605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4405 (North Carolina) | Primary |
| Provider Name | Eric W Goodman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124385844 PECOS PAC ID: 6800037060 Enrollment ID: I20130731000473 |
| Provider Name | Douglas W Bradberry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710231303 PECOS PAC ID: 3173769809 Enrollment ID: I20130904000733 |
| Provider Name | Hannah Alise Arisman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215664743 PECOS PAC ID: 1052789096 Enrollment ID: I20221122001599 |
| Provider Name | Lane Michael Dwyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881310092 PECOS PAC ID: 6406227206 Enrollment ID: I20230113000265 |
| Mailing Address | Practice Location Address |
|---|---|
| De Health Partners Pc 4601 Park Rd Ste 100, Charlotte, NC 28209-2296 Ph: (704) 527-7246 | De Health Partners Pc 4601 Park Rd Ste 100, Charlotte, NC 28209-2296 Ph: (045) 277-2467 |
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