Provider Demographics
NPI:1043226640
Name:MCAREAVY, STEVEN CRAIG (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CRAIG
Last Name:MCAREAVY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 S TRYON ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28281-0001
Mailing Address - Country:US
Mailing Address - Phone:704-370-7722
Mailing Address - Fax:704-370-6960
Practice Address - Street 1:212 S TRYON ST
Practice Address - Street 2:SUITE 11
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28281-0001
Practice Address - Country:US
Practice Address - Phone:704-370-7722
Practice Address - Fax:704-370-6960
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1479111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08614OtherBLUE CROSS/BLUE SHIELD
NC244549Medicare ID - Type Unspecified