Blankenship Chiropractic Clinic, Pa | |
1953 Wilkesboro Hwy, Statesville, NC 28625-8737 | |
(704) 873-7068 | |
(704) 871-9974 |
Full Name | Blankenship Chiropractic Clinic, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 1953 Wilkesboro Hwy, Statesville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1669401956 | NPI | - | NPPES |
89013AO | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 717 (North Carolina) | Primary |
Provider Name | Radford H Blankenship |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992753529 PECOS PAC ID: 6002003589 Enrollment ID: I20101214000775 |
Mailing Address | Practice Location Address |
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Blankenship Chiropractic Clinic, Pa 1953 Wilkesboro Hwy, Statesville, NC 28625-8737 Ph: (704) 873-7068 | Blankenship Chiropractic Clinic, Pa 1953 Wilkesboro Hwy, Statesville, NC 28625-8737 Ph: (704) 873-7068 |
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