Provider Demographics
NPI:1295828747
Name:FINLEY, ROBERT DOUGLAS (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:FINLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 WAGNER STREET
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-9627
Mailing Address - Country:US
Mailing Address - Phone:704-528-9119
Mailing Address - Fax:704-528-9194
Practice Address - Street 1:112 WAGNER STREET
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166-9627
Practice Address - Country:US
Practice Address - Phone:704-528-9119
Practice Address - Fax:704-528-9194
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00186024OtherRAILROAD MEDICARE ID
NC0835KOtherBCBS OF NC ID #
NCP00186024OtherRAILROAD MEDICARE ID
NCU73869Medicare UPIN