MEDICARE: BINDER CHIROPRACTIC CENTER P A

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	1677	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08318	OTHER	NC	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184706590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BINDER CHIROPRACTIC CENTER P A

Provider Business Mailing Address
First Line	:	2124 STATESVILLE BLVD
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1410
Country	:	US
Telephone Number	:	704-642-1415
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 STATESVILLE BLVD
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1410
Country	:	US
Telephone Number	:	704-642-1415
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL S BINDER
Credential	:	DC
Telephone Number	:	704-642-1415

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	05/28/2019

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