Stephen David Demaine, DC | |
504 Eastway Dr, Charlotte, NC 28205-1421 | |
(704) 372-6960 | |
(704) 372-6890 |
Full Name | Stephen David Demaine |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 504 Eastway Dr, Charlotte, 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 |
---|---|---|---|
1154398832 | NPI | - | NPPES |
7211535 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 23786 (North Carolina) | Primary |
Provider Name | Demaine Chiropractic &wellnes Center Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255367397 PECOS PAC ID: 6103802319 Enrollment ID: O20060802000411 |
Mailing Address | Practice Location Address |
---|---|
Stephen David Demaine, DC 504 Eastway Dr, Charlotte, NC 28205-1421 Ph: (704) 372-6960 | Stephen David Demaine, DC 504 Eastway Dr, Charlotte, NC 28205-1421 Ph: (704) 372-6960 |
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