Provider Demographics
NPI:1215185632
Name:TNT CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:TNT CHIROPRACTIC PLLC
Other - Org Name:CARMEL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LOCKHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-541-6000
Mailing Address - Street 1:6406 CARMEL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8061
Mailing Address - Country:US
Mailing Address - Phone:704-541-6000
Mailing Address - Fax:704-541-3350
Practice Address - Street 1:6406 CARMEL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8061
Practice Address - Country:US
Practice Address - Phone:704-541-6000
Practice Address - Fax:704-541-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5950596Medicaid
NC2335872Medicare PIN