Healthcare Provider Details

I. General information

NPI: 1700702685
Provider Name (Legal Business Name): ADVANCED ACUPUNCTURE & CHIROPRACTIC CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 E W T HARRIS BLVD STE 102
CHARLOTTE NC
28213-5133
US

IV. Provider business mailing address

2305 E W T HARRIS BLVD STE 102
CHARLOTTE NC
28213-5133
US

V. Phone/Fax

Practice location:
  • Phone: 704-921-0505
  • Fax: 844-392-3979
Mailing address:
  • Phone: 704-921-0505
  • Fax: 844-392-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM M BLITSTEIN
Title or Position: OWNER
Credential: BS, DC, FASA, CCSP
Phone: 704-921-0505