Isamar Zoe Torres Roman, | |
202 W Nc 54, Suite 103, Durham, NC 27713 | |
(919) 408-7499 | |
Not Available |
Full Name | Isamar Zoe Torres Roman |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 202 W Nc 54, Durham, 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 |
---|---|---|---|
1508567132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5560 (North Carolina) | Primary |
Provider Name | Nc Chiropractic 01 Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780260497 PECOS PAC ID: 8820481054 Enrollment ID: O20220210000420 |
Mailing Address | Practice Location Address |
---|---|
Isamar Zoe Torres Roman, 401 Nc 54 Apt D28, Carrboro, NC 27510-6107 Ph: (787) 636-9313 | Isamar Zoe Torres Roman, 202 W Nc 54, Suite 103, Durham, NC 27713 Ph: (919) 408-7499 |
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