Healthcare Provider Details

I. General information

NPI: 1386000149
Provider Name (Legal Business Name): CHIROCABARRUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8230 POPLAR TENT RD STE 103
CONCORD NC
28027-7544
US

IV. Provider business mailing address

8230 POPLAR TENT RD STE 103
CONCORD NC
28027-7544
US

V. Phone/Fax

Practice location:
  • Phone: 704-956-2822
  • Fax: 704-956-2625
Mailing address:
  • Phone: 704-956-2822
  • Fax: 704-956-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4048
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number4048
License Number StateNC

VIII. Authorized Official

Name: DR. ROBERT SCOTT SAARIO
Title or Position: OWNER
Credential: D.C.
Phone: 704-900-4660