Keith Clinic Of Chiropractic, P.A.

LBN: Keith Clinic Of Chiropractic, P.A.
Keith Clinic Of Chiropractic, P.A. is an health care organization with primary practice located at 4016 Triangle Dr , Charlotte NC 28208-2828. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Keith Clinic Of Chiropractic, P.A. can be contacted via phone (704) 392-1338, or through Keith, Fletcher Gary via phone (704) 392-1338.

Contact Information

Primary practice address
4016 Triangle Dr Charlotte NC 28208-2828
Phone: (704) 392-1338
Fax: (704) 392-8156
Website:
Map and Directions
Authorized official contact:
Name: Keith, Fletcher Gary Doctor of Chiropractic (DC)
Phone: (704) 392-1338

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1407832637
LBN Legal business name Keith Clinic Of Chiropractic, P.A.
DBA Doing business as
Authorized official Keith, Fletcher Gary Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 10th, 2009 - about 15 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 1407832637 NPPES
North Carolina MEDICAID 8908428
North Carolina MEDICAID 5900583

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