Healthcare Provider Details

I. General information

NPI: 1790954121
Provider Name (Legal Business Name): RICHARD S. PASKO, D.C., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 SEVEN LAKES DR
WEST END NC
27376
US

IV. Provider business mailing address

PO BOX 834
SEVEN LAKES NC
27376-0834
US

V. Phone/Fax

Practice location:
  • Phone: 910-673-2225
  • Fax: 910-673-7544
Mailing address:
  • Phone: 910-673-2225
  • Fax: 910-673-7544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number3353
License Number StateNC

VIII. Authorized Official

Name: DR. RICHARD STEVEN PASKO
Title or Position: PRESIDENT
Credential: D.C.,D.A.C.B.R.
Phone: 910-673-2225