Driscoll, Tina Marie
Driscoll, Tina Marie is an individual health care provider with primary practice located at 1171 N Bragg Blvd , Spring Lake NC 28390-3116. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Driscoll, Tina Marie can be contacted via phone (910) 436-5000.Contact Information
Primary practice address
1171 N Bragg Blvd
Spring Lake NC 28390-3116
Phone: (910) 436-5000
Fax: (910) 436-7705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1830 | North Carolina |
Profile Details
| NPI number | 1083611040 |
|---|---|
| LBN Legal business name | Driscoll, Tina Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083611040 | NPPES |
| North Carolina | MEDICAID | 89085GR | |
| North Carolina | Other | 013FC |
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