Innate Enterprise Pllc | |
2501b Plantation Center Dr, Matthews, NC 28105-5298 | |
(980) 202-2890 | |
Not Available |
Full Name | Innate Enterprise Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2501b Plantation Center Dr, Matthews, 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 |
---|---|---|---|
1578172003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Matthew Craig Westheimer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598097586 PECOS PAC ID: 8921289091 Enrollment ID: I20200821002146 |
Mailing Address | Practice Location Address |
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Innate Enterprise Pllc 2501b Plantation Center Dr, Matthews, NC 28105-5298 Ph: (980) 202-2890 | Innate Enterprise Pllc 2501b Plantation Center Dr, Matthews, NC 28105-5298 Ph: (980) 202-2890 |
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