Provider Demographics
NPI:1326102914
Name:GALLIGAN FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:GALLIGAN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:SHANNON
Authorized Official - Last Name:GALLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-790-4575
Mailing Address - Street 1:1221 FLORAL PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6238
Mailing Address - Country:US
Mailing Address - Phone:910-790-4575
Mailing Address - Fax:910-790-7819
Practice Address - Street 1:1221 FLORAL PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6238
Practice Address - Country:US
Practice Address - Phone:910-790-4575
Practice Address - Fax:910-790-7819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0845KOtherBCBS
NC2453965OtherCIGNA
NC890845KMedicaid
NC0845KOtherBCBS
NC2453965OtherCIGNA