Provider Demographics
NPI:1033183967
Name:ALL-IN-ONE SPORTS MEDICINE INC.
Entity Type:Organization
Organization Name:ALL-IN-ONE SPORTS MEDICINE INC.
Other - Org Name:AIOSM INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / DIRECTOR-CEAS
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED (AL)
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:SHUFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LAT, ATC,STS
Authorized Official - Phone:704-573-1940
Mailing Address - Street 1:5201 MINTRIDGE RD
Mailing Address - Street 2:AIOSM INC.
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9242
Mailing Address - Country:US
Mailing Address - Phone:704-573-1940
Mailing Address - Fax:
Practice Address - Street 1:5201 MINTRIDGE RD
Practice Address - Street 2:AIOSM INC.
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9242
Practice Address - Country:US
Practice Address - Phone:704-573-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty