Blitstein, Michele Renee

Blitstein, Michele Renee is an individual health care provider with primary practice located at 2305 E Wt Harris Blvd Ste 102, Charlotte NC 28213. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Blitstein, Michele Renee can be contacted via phone (704) 921-0505.

Contact Information

Primary practice address
2305 E Wt Harris Blvd Ste 102 Charlotte NC 28213
Fax: (704) 921-0508
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X NC2319 North Carolina
Chiropractic Providers / Chiropractor 111N00000X SC1989 South Carolina
Other Service Providers / Acupuncturist 171100000X 015812

Profile Details

NPI number 1801874359
LBN Legal business name Blitstein, Michele Renee
Credentials DC DIPL AC NCCAOM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801874359 NPPES
North Carolina Other 0841F BCBS
North Carolina MEDICAID 890841F BCBS

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