Healthcare Provider Details

I. General information

NPI: 1881790848
Provider Name (Legal Business Name): WILLEN CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 HIGH POINT RD SUITE H
GREENSBORO NC
27407-4713
US

IV. Provider business mailing address

3808 HIGH POINT RD SUTIE H
GREENSBORO NC
27407-4713
US

V. Phone/Fax

Practice location:
  • Phone: 336-855-8560
  • Fax: 336-855-5938
Mailing address:
  • Phone: 336-855-8560
  • Fax: 336-855-5938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberNC1406
License Number StateNC

VIII. Authorized Official

Name: DR. STEVE M WILLEN
Title or Position: PRESIDENT
Credential: DC
Phone: 336-855-8560