Fayetteville Family Chiropractic

LBN: Fayetteville Chiropractic
Fayetteville Family Chiropractic is an health care organization with primary practice located at 205 Owen Dr , Fayetteville NC 28304-3409. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Fayetteville Chiropractic can be contacted via phone (910) 484-5999, or through Fonke, Jerome E via phone (910) 484-5999.

Contact Information

Primary practice address
205 Owen Dr Fayetteville NC 28304-3409
Phone: (910) 484-5999
Fax: (910) 484-2523
Website:
Map and Directions
Authorized official contact:
Name: Fonke, Jerome E Doctor of Chiropractic (DC)
Phone: (910) 484-5999

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1875 North Carolina

Profile Details

NPI number 1013015205
LBN Legal business name Fayetteville Chiropractic
DBA Doing business as Fayetteville Family Chiropractic
Authorized official Fonke, Jerome E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013015205 NPPES
North Carolina Other 0840G BCBS OF NC
North Carolina MEDICAID 890823W BCBS OF NC

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