Provider Demographics
NPI:1386000149
Name:CHIROCABARRUS
Entity Type:Organization
Organization Name:CHIROCABARRUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SAARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-900-4660
Mailing Address - Street 1:8230 POPLAR TENT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7544
Mailing Address - Country:US
Mailing Address - Phone:704-956-2822
Mailing Address - Fax:704-956-2625
Practice Address - Street 1:8230 POPLAR TENT RD STE 103
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7544
Practice Address - Country:US
Practice Address - Phone:704-956-2822
Practice Address - Fax:704-956-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4048111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2458043Medicare PIN