Provider Demographics
NPI:1265816201
Name:SALISBURY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:SALISBURY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-633-9335
Mailing Address - Street 1:2907 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7903
Mailing Address - Country:US
Mailing Address - Phone:704-633-9335
Mailing Address - Fax:704-633-1743
Practice Address - Street 1:2907 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-7903
Practice Address - Country:US
Practice Address - Phone:704-633-9335
Practice Address - Fax:704-633-1743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty