Healthcare Provider Details

I. General information

NPI: 1639901440
Provider Name (Legal Business Name): SUNSHINE CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 PHILBECK LN
WAKE FOREST NC
27587-1608
US

IV. Provider business mailing address

9420 PHILBECK LN
WAKE FOREST NC
27587-3603
US

V. Phone/Fax

Practice location:
  • Phone: 813-966-7111
  • Fax:
Mailing address:
  • Phone: 813-731-6464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH KIRBY
Title or Position: OWNER
Credential: DC
Phone: 813-731-6464