Healthcare Provider Details

I. General information

NPI: 1457423212
Provider Name (Legal Business Name): MCDOWELL CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 05/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N MAIN ST
MARION NC
28752-8803
US

IV. Provider business mailing address

1500 N MAIN ST
MARION NC
28752-8803
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-3999
  • Fax: 828-659-3998
Mailing address:
  • Phone: 828-659-3999
  • Fax: 828-659-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1890
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNC

VIII. Authorized Official

Name: CARTER LYNN BURGIN
Title or Position: OWNER
Credential: D.C.
Phone: 828-659-3999