Provider Demographics
NPI:1043516875
Name:COURNOYER CHIROPRACTIC PC
Entity Type:Organization
Organization Name:COURNOYER CHIROPRACTIC PC
Other - Org Name:COURNOYER CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COURNOYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-230-7253
Mailing Address - Street 1:780 HENDERSONVILLE RD
Mailing Address - Street 2:#17
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2900
Mailing Address - Country:US
Mailing Address - Phone:828-230-7253
Mailing Address - Fax:
Practice Address - Street 1:780 HENDERSONVILLE RD
Practice Address - Street 2:#17
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2900
Practice Address - Country:US
Practice Address - Phone:828-230-7253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty