1912365370 NPI number — SANDHILLS ALTERNATIVE HEALTHCARE INC.

Table of content: (NPI 1912365370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912365370 NPI number — SANDHILLS ALTERNATIVE HEALTHCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANDHILLS ALTERNATIVE HEALTHCARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SANDHILLS ALTERNATIVE HEALTHCARE
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912365370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 W VERMONT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHERN PINES
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28387-4823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-693-3700
Provider Business Mailing Address Fax Number:
910-693-3709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 W VERMONT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHERN PINES
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28387-4823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-693-3700
Provider Business Practice Location Address Fax Number:
910-693-3709
Provider Enumeration Date:
02/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MCKAY
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
PRESSLEY
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
910-693-3700

Provider Taxonomy Codes

  • Taxonomy code: 111NN1001X , with the licence number:  2798 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 237431979 . This is a "NPI# 1144307398" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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