MEDICARE: BETTER HEALTH 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	2335	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730134768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER HEALTH CHIROPRACTIC, PA

Provider Business Mailing Address
First Line	:	12047 HUMBOLDT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0217
Country	:	US
Telephone Number	:	704-841-7096
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 ORCHARD LAKE DR
Second Line	:	SUITE B
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-1474
Country	:	US
Telephone Number	:	704-844-9560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN HOWARD JACKSON
Credential	:	D.C.
Telephone Number	:	704-844-9560

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/22/2020

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