Healthcare Provider Details

I. General information

NPI: 1043226640
Provider Name (Legal Business Name): STEVEN CRAIG MCAREAVY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S TRYON ST SUITE 11
CHARLOTTE NC
28281-0001
US

IV. Provider business mailing address

212 S TRYON ST SUITE 11
CHARLOTTE NC
28281-0001
US

V. Phone/Fax

Practice location:
  • Phone: 704-370-7722
  • Fax: 704-370-6960
Mailing address:
  • Phone: 704-370-7722
  • Fax: 704-370-6960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1479
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: