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NPI Code Detail

MEDICARE: CROWNPOINT CHIROPRACTIC CENTER,PC

MEDICARE: CROWNPOINT CHIROPRACTIC CENTER,PC
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
1111N00000XChiropractor1361NC

General Provider Information

NPI Number : 1316136492
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROWNPOINT CHIROPRACTIC CENTER,PC
Provider Business Mailing Address
First Line : 855 SAM NEWELL RD
Second Line : SUITE 202
City : MATTHEWS
State : NC
Zip : 28105-7593
Country : US
Telephone Number : 704-847-3848
Fax Number :
Provider Business Practice Location Address
First Line : 855 SAM NEWELL RD
Second Line : SUITE 202
City : MATTHEWS
State : NC
Zip : 28105-7593
Country : US
Telephone Number : 704-847-3848
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : DR. DIRK SIMONS
Credential : DC
Telephone Number : 704-847-3848
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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Directions to “CROWNPOINT CHIROPRACTIC CENTER,PC ” Practice Location

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