Healthcare Provider Details

I. General information

NPI: 1497051130
Provider Name (Legal Business Name): DICE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5324 MCFARLAND RD SUITE 130
DURHAM NC
27707-6865
US

IV. Provider business mailing address

5324 MCFARLAND RD SUITE 130
DURHAM NC
27707-6865
US

V. Phone/Fax

Practice location:
  • Phone: 919-381-6960
  • Fax: 919-381-6962
Mailing address:
  • Phone: 919-381-6960
  • Fax: 919-381-6962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3978
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberAJ009813
License Number StatePA

VIII. Authorized Official

Name: DR. CORTNEY M DICE
Title or Position: DR. CORTNEY DICE, D.C. CHIROPRACTOR
Credential: D.C
Phone: 919-381-6960