MEDICARE: DR. MANON FIELDING D.C., M.S, LCAS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-27073	NC
2	111N00000X	Chiropractor	2135	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08448	OTHER	NC	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDCOST	OTHER	NC	77310

General Provider Information

NPI Number	:	1821010224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANON FIELDING D.C., M.S, LCAS

Provider Business Mailing Address
First Line	:	1121 LUPINE CT APT D
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-8123
Country	:	US
Telephone Number	:	919-758-2268
Fax Number	:

Provider Business Practice Location Address
First Line	:	10931 STRICKLAND RD STE 131
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2085
Country	:	US
Telephone Number	:	919-758-2268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	01/13/2023

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