Provider Demographics
NPI:1003097122
Name:A. ROBERT VAN NOTE
Entity Type:Organization
Organization Name:A. ROBERT VAN NOTE
Other - Org Name:CAROLINA CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:A.
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:VAN NOTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-343-1212
Mailing Address - Street 1:1375 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6421
Mailing Address - Country:US
Mailing Address - Phone:910-343-1212
Mailing Address - Fax:910-343-1178
Practice Address - Street 1:1375 S 16TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6421
Practice Address - Country:US
Practice Address - Phone:910-343-1212
Practice Address - Fax:910-343-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC710111N00000X
NC3258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT64248Medicare UPIN