1588801476 NPI number — RODSATER FAMILY CHIROPRACTIC PLLC

Table of content: DR. NAOMI RUTH FELDMAN M.D. (NPI 1679698716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588801476 NPI number — RODSATER FAMILY CHIROPRACTIC PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RODSATER FAMILY CHIROPRACTIC PLLC
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:
Provider Other Organization Name Type Code:
6
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:
1588801476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16419 NORTHCROSS DR
Provider Second Line Business Mailing Address:
SUITE-C
Provider Business Mailing Address City Name:
HUNTERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28078-5004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-895-7227
Provider Business Mailing Address Fax Number:
704-895-9565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16419 NORTHCROSS DR
Provider Second Line Business Practice Location Address:
SUITE-C
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-895-7227
Provider Business Practice Location Address Fax Number:
704-895-9565
Provider Enumeration Date:
01/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RODSATER
Authorized Official First Name:
JON
Authorized Official Middle Name:
NICHOLAS
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
704-895-7227

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , with the licence number:  3896 , 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)





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