| Gorlesky Back & Neck Chiropractic, Inc | |
|
301 S White St Wake Forest NC 27587-2916 | |
| (919) 556-1033 | |
| (919) 556-1034 |
| Full Name | Gorlesky Back & Neck Chiropractic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 301 S White St, Wake Forest, North Carolina |
| Authorized Official Name and Position | Jack Gorlesky (OWNER) |
| Authorized Official Contact | 9195561033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorlesky Back & Neck Chiropractic, Inc 301 S White St Wake Forest NC 27587-2916 Ph: (919) 556-1033 | Gorlesky Back & Neck Chiropractic, Inc 301 S White St Wake Forest NC 27587-2916 Ph: (919) 556-1033 |
| NPI Number | 1013086909 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013086909 | NPI | - | NPPES |
| 08452 | Other | NC | BLUE CROSS-BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1030 (North Carolina) | Primary |
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