Healthcare Provider Details
I. General information
NPI: 1700808870
Provider Name (Legal Business Name): CARI MAY CASE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/24/2006
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 W CHATHAM ST
APEX NC
27502-1895
US
IV. Provider business mailing address
207 W CHATHAM ST
APEX NC
27502-1895
US
V. Phone/Fax
- Phone: 919-363-0041
- Fax: 919-363-0574
- Phone: 919-363-0041
- Fax: 919-363-0574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2814 |
| License Number State | NC |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 2377667 |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | AETNA HMO PROVIDER # |
| # 2 | |
| Identifier | 350054455 |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | RAILROAD MEDICARE # |
| # 3 | |
| Identifier | 890845J |
| Identifier Type | MEDICAID |
| Identifier State | NC |
| Identifier Issuer | |
| # 4 | |
| Identifier | 0845J |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | BCBS PROVIDER # |
| # 5 | |
| Identifier | 283534 |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | MAMSI PROVIDER # |
| # 6 | |
| Identifier | 7240176 |
| Identifier Type | OTHER |
| Identifier State | NC |
| Identifier Issuer | AETNA PROVIDER # |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: