Neshat, Mazyar

Neshat, Mazyar is an individual health care provider with primary practice located at 1001 Van Buren Ave Ste E , Indian Trail NC 28079-5584. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Neshat, Mazyar can be contacted via phone (704) 882-2255.

Contact Information

Primary practice address
1001 Van Buren Ave Ste E Indian Trail NC 28079-5584
Phone: (704) 882-2255
Fax: (704) 882-2252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2976 North Carolina

Profile Details

NPI number 1609971878
LBN Legal business name Neshat, Mazyar
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 6th, 2009 - about 15 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 1609971878 NPPES
North Carolina Other 085EA BCBS OF NC
North Carolina Other 618261 BCBS OF NC
North Carolina MEDICAID 89085EA BCBS OF NC
North Carolina Other 618261 BCBS OF NC

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