MEDICARE: DRUZBIK FAMILY CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2944	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	085CT	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598968026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUZBIK FAMILY CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	PO BOX 26
Second Line	:
City	:	STATESVILLE
State	:	NC
Zip	:	28687-0026
Country	:	US
Telephone Number	:	704-878-9744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 DAVIE AVE STE 417
Second Line	:
City	:	STATESVILLE
State	:	NC
Zip	:	28677-3578
Country	:	US
Telephone Number	:	704-878-9744
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. MICHAEL DRUZBIK
Credential	:	D.C.
Telephone Number	:	704-878-9744

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	09/01/2010

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