Provider Demographics
NPI:1063477180
Name:ATLAS FAMILY CHIROPRACTIC PA
Entity Type:Organization
Organization Name:ATLAS FAMILY CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEG
Authorized Official - Middle Name:G
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-0700
Mailing Address - Street 1:190 BROADWAY ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2305
Mailing Address - Country:US
Mailing Address - Phone:828-253-0700
Mailing Address - Fax:828-253-0724
Practice Address - Street 1:190 BROADWAY ST
Practice Address - Street 2:SUITE 205
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2305
Practice Address - Country:US
Practice Address - Phone:828-253-0700
Practice Address - Fax:828-253-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890128LMedicaid
NC890128LMedicaid