| Proactive Chiropractic And Rehab Center Inc. | |
|
11010 S Tryon St Ste 112, Charlotte, NC 28273-6530 | |
| (704) 504-1770 | |
| Not Available |
| Full Name | Proactive Chiropractic And Rehab Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11010 S Tryon St Ste 112, 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 |
|---|---|---|---|
| 1679757728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3410 (North Carolina) | Primary |
| Provider Name | Alec Khlebopros |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205811213 PECOS PAC ID: 8224057591 Enrollment ID: I20060630000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Chiropractic And Rehab Center Inc. 11010 S Tryon St Ste 112, Charlotte, NC 28273-6530 Ph: () - | Proactive Chiropractic And Rehab Center Inc. 11010 S Tryon St Ste 112, Charlotte, NC 28273-6530 Ph: (704) 504-1770 |
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