| Structural Chiropractic Of North Carolina | |
|
1125 Kildaire Farm Rd Cary NC 27511-4566 | |
| (919) 467-7797 | |
| Not Available |
| Full Name | Structural Chiropractic Of North Carolina |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 Kildaire Farm Rd, Cary, North Carolina |
| Authorized Official Name and Position | Chris Sullivan (MANAGER) |
| Authorized Official Contact | 8142419519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Structural Chiropractic Of North Carolina 1125 Kildaire Farm Rd Cary NC 27511-4566 Ph: (919) 467-7797 | Structural Chiropractic Of North Carolina 1125 Kildaire Farm Rd Cary NC 27511-4566 Ph: (919) 467-7797 |
| NPI Number | 1356847164 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 4587929054 |
|---|---|
| Medicare Enrollment ID | O20180604001996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356847164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 04792 (North Carolina) | Primary |
| Provider Name | John Barret Lancaster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952819708 PECOS PAC ID: 7618238072 Enrollment ID: I20180227000899 |
| Provider Name | Christopher Michael Sullivan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770761652 PECOS PAC ID: 9537243720 Enrollment ID: I20180611000038 |
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