Laurel Park Chiropractic Center Llc | |
212 S Grove St, Suite D, Hendersonville, NC 28792-4006 | |
(828) 696-9090 | |
Not Available |
Full Name | Laurel Park Chiropractic Center Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 212 S Grove St, Hendersonville, 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 |
---|---|---|---|
1174628416 | NPI | - | NPPES |
1139C | Other | NC | BCBSNC PROVIDER ID |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2136 (North Carolina) | Primary |
Provider Name | Roger Wayne Freed |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801845649 PECOS PAC ID: 1658382064 Enrollment ID: I20060524000182 |
Mailing Address | Practice Location Address |
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Laurel Park Chiropractic Center Llc 212 S Grove St, Suite D, Hendersonville, NC 28792-4006 Ph: (828) 696-9090 | Laurel Park Chiropractic Center Llc 212 S Grove St, Suite D, Hendersonville, NC 28792-4006 Ph: (828) 696-9090 |
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