Demaine Chiropractic &wellnes Center Pa | |
504 Eastway Dr, Charlotte, NC 28205-1421 | |
(704) 372-6960 | |
Not Available |
Full Name | Demaine Chiropractic &wellnes Center Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 504 Eastway Dr, Charlotte, 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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1255367397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2183 (North Carolina) | Primary |
Provider Name | Stephen D Demaine |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154398832 PECOS PAC ID: 3274519491 Enrollment ID: I20120203000771 |
Provider Name | Jose Angel Cruz Troche |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821602707 PECOS PAC ID: 5698195980 Enrollment ID: I20201027001099 |
Provider Name | Hector Raul Mera |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306511407 PECOS PAC ID: 1951706225 Enrollment ID: I20210825000522 |
Provider Name | Branden Brana Rivera |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558070516 PECOS PAC ID: 7810366465 Enrollment ID: I20221205000143 |
Mailing Address | Practice Location Address |
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Demaine Chiropractic &wellnes Center Pa 504 Eastway Dr, Charlotte, NC 28205-1421 Ph: (704) 372-6960 | Demaine Chiropractic &wellnes Center Pa 504 Eastway Dr, Charlotte, NC 28205-1421 Ph: (704) 372-6960 |
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