Provider Demographics
NPI:1083773998
Name:UHRICH CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:UHRICH CHIROPRACTIC, PA
Other - Org Name:BODY BALANCE BY UHRICH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:UHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-662-0200
Mailing Address - Street 1:816 BRAWLEY SCHOOL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6869
Mailing Address - Country:US
Mailing Address - Phone:704-662-0200
Mailing Address - Fax:704-662-0259
Practice Address - Street 1:816 BRAWLEY SCHOOL RD
Practice Address - Street 2:SUITE D
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6869
Practice Address - Country:US
Practice Address - Phone:704-662-0200
Practice Address - Fax:704-662-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0855COtherBCBS GROUP #
NC890855CMedicaid
0855COtherBCBS GROUP #