Daniele Ellen Runyan, DC | |
1628 Old Apex Rd, Cary, NC 27513-5719 | |
(919) 367-6752 | |
Not Available |
Full Name | Daniele Ellen Runyan |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1628 Old Apex Rd, Cary, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225677305 | NPI | - | NPPES |
5127 | Other | NC | CHIROPRACTIC LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5127 (North Carolina) | Primary |
Provider Name | Elemental Chiropractic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336753623 PECOS PAC ID: 4385062751 Enrollment ID: O20200916002586 |
Mailing Address | Practice Location Address |
---|---|
Daniele Ellen Runyan, DC 1640 Old Apex Rd, Cary, NC 27513-5719 Ph: (919) 367-6752 | Daniele Ellen Runyan, DC 1628 Old Apex Rd, Cary, NC 27513-5719 Ph: (919) 367-6752 |
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