Healthcare Provider Details

I. General information

NPI: 1215169693
Provider Name (Legal Business Name): VERVE CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6112 SAINT GILES ST STE 200
RALEIGH NC
27612-7043
US

IV. Provider business mailing address

6112 SAINT GILES ST STE 200
RALEIGH NC
27612-7043
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-3870
  • Fax:
Mailing address:
  • Phone: 919-782-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5008897
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3991
License Number StateNC

VIII. Authorized Official

Name: DR. LAUREN T SCOTT
Title or Position: OWNER
Credential: D.C.
Phone: 919-782-3870