Gotro Chiropractic Of Indian Trail

LBN: Gotro Chiropractic Of Indian Trail
Gotro Chiropractic Of Indian Trail is an health care organization with primary practice located at 13803 Independence Blvd Ste E , Indian Trail NC 28079-7680. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Gotro Chiropractic Of Indian Trail can be contacted via phone (704) 882-0192, or through Gotro, Hugh Charles via phone (704) 882-0192.

Contact Information

Primary practice address
13803 Independence Blvd Ste E Indian Trail NC 28079-7680
Fax: (704) 882-0612
Website:
Authorized official contact:
Name: Gotro, Hugh Charles Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2080 North Carolina

Profile Details

NPI number 1801959580
LBN Legal business name Gotro Chiropractic Of Indian Trail
DBA Doing business as
Authorized official Gotro, Hugh Charles Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 7th, 2012 - about 12 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 1801959580 NPPES
North Carolina MEDICAID 890253K

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