| Frederick Chiropractic Pllc | |
|
10310 Moncreiffe Rd Ste 103 Raleigh NC 27617-7814 | |
| (561) 358-1451 | |
| Not Available |
| Full Name | Frederick Chiropractic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10310 Moncreiffe Rd Ste 103, Raleigh, North Carolina |
| Authorized Official Name and Position | Taylor Frederick (MANAGING MEMBER) |
| Authorized Official Contact | 5613581451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Chiropractic Pllc 1218 Taylor Ct Apt A Cary NC 27511-4995 Ph: (561) 358-1451 | Frederick Chiropractic Pllc 10310 Moncreiffe Rd Ste 103 Raleigh NC 27617-7814 Ph: (561) 358-1451 |
| NPI Number | 1326541046 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 03/09/2018 |
| Medicare PECOS PAC ID | 3779847124 |
|---|---|
| Medicare Enrollment ID | O20180510001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326541046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4860 (North Carolina) | Primary |
| Provider Name | Taylor Frederick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902309693 PECOS PAC ID: 6406110857 Enrollment ID: I20180510002169 |
| Provider Name | Sogoal Feizi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497257646 PECOS PAC ID: 6901135490 Enrollment ID: I20190909002508 |
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