1891728135 NPI number — FREEDOM CHIROPRACTIC SERVICES MIDWEST PC

Table of content: (NPI 1891728135)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891728135 NPI number — FREEDOM CHIROPRACTIC SERVICES MIDWEST PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREEDOM CHIROPRACTIC SERVICES MIDWEST PC
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:
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:
1891728135
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
620 S MADISON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28472-4130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-641-0425
Provider Business Mailing Address Fax Number:
910-640-2054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2707 W ALGONQUIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALGONQUIN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60102-9400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-641-0425
Provider Business Practice Location Address Fax Number:
910-640-2054
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEBSTER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
910-641-0425

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  NC1459 , 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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