Healthcare Provider Details

I. General information

NPI: 1275573347
Provider Name (Legal Business Name): DONNA USHER KING D.C., C.C.S.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 PEMBERTON HILL RD STE 103
APEX NC
27502-3957
US

IV. Provider business mailing address

1101 PEMBERTON HILL RD STE 103
APEX NC
27502-3957
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-2225
  • Fax: 919-363-2280
Mailing address:
  • Phone: 919-363-2225
  • Fax: 919-363-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2050
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2050
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1457539538
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer
# 2
Identifier08716
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerBCBSNC ID NUMBER

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: