Provider Demographics
NPI:1164726451
Name:CORNERSTONE HEALTH CENTER, INC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CENTER, INC
Other - Org Name:CORNERSTONE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ERNST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-597-7490
Mailing Address - Street 1:9401 STATESVILLE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7600
Mailing Address - Country:US
Mailing Address - Phone:704-597-7490
Mailing Address - Fax:
Practice Address - Street 1:9401 STATESVILLE RD
Practice Address - Street 2:SUITE H
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7600
Practice Address - Country:US
Practice Address - Phone:704-597-7490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-01
Last Update Date:2011-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty