| Keystone Healing Arts Center Pllc | |
|
8522 Six Forks Rd Ste 101 Raleigh NC 27615-3098 | |
| (919) 896-8715 | |
| (919) 896-8698 |
| Full Name | Keystone Healing Arts Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8522 Six Forks Rd Ste 101, Raleigh, North Carolina |
| Authorized Official Name and Position | John Stansbury (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 9198968715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Healing Arts Center Pllc 8522 Six Forks Rd Ste 101 Raleigh NC 27615-3098 Ph: (919) 896-8715 | Keystone Healing Arts Center Pllc 8522 Six Forks Rd Ste 101 Raleigh NC 27615-3098 Ph: (919) 896-8715 |
| NPI Number | 1134513328 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/25/2015 |
| Medicare PECOS PAC ID | 3173842440 |
|---|---|
| Medicare Enrollment ID | O20150507002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134513328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John W Stansbury |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770520850 PECOS PAC ID: 4082618087 Enrollment ID: I20060906000181 |
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