MEDICARE: WIRTH CHIROPRACTIC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1114663424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIRTH CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	2100 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834
Country	:	US
Telephone Number	:	252-999-9371
Fax Number	:	252-999-9372

Provider Business Practice Location Address
First Line	:	2100 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6487
Country	:	US
Telephone Number	:	252-756-6111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN JAMES WIRTH
Credential	:	DC
Telephone Number	:	252-756-6111

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	06/22/2026

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Directions to “WIRTH CHIROPRACTIC PA ” Practice Location

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