Provider Demographics
NPI:1316018690
Name:FIELDING CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:FIELDING CHIROPRACTIC, INC.
Other - Org Name:FIELDING CHIROPRACTIC CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANON
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-732-0917
Mailing Address - Street 1:658 N CHURTON ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2103
Mailing Address - Country:US
Mailing Address - Phone:919-732-0917
Mailing Address - Fax:919-644-6416
Practice Address - Street 1:658 N CHURTON ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2103
Practice Address - Country:US
Practice Address - Phone:919-732-0917
Practice Address - Fax:919-644-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2135111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08448OtherBCBS
NC330702OtherACN
NC7908448Medicaid
NC77310OtherMEDCOST
NC330702OtherACN
NC69623Medicare UPIN