Healthcare Provider Details

I. General information

NPI: 1639350556
Provider Name (Legal Business Name): CHARLES P HECHT DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 MARTIN LUTHER KING JR BLVD
CHAPEL HILL NC
27514-7415
US

IV. Provider business mailing address

1812 MARTIN LUTHER KING JR BLVD
CHAPEL HILL NC
27514-7415
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-8633
  • Fax: 919-933-8624
Mailing address:
  • Phone: 919-933-8633
  • Fax: 919-933-8624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number3781
License Number StateNC

VIII. Authorized Official

Name: DR. CHARLES PETER HECHT
Title or Position: CEO
Credential: DC
Phone: 919-933-8633