Provider Demographics
NPI:1417096074
Name:CARE CHIROPRACTIC INCORPORATED
Entity Type:Organization
Organization Name:CARE CHIROPRACTIC INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:252-438-2273
Mailing Address - Street 1:1503 GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2911
Mailing Address - Country:US
Mailing Address - Phone:252-438-2273
Mailing Address - Fax:252-738-0001
Practice Address - Street 1:1503 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2911
Practice Address - Country:US
Practice Address - Phone:252-438-2273
Practice Address - Fax:252-738-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890838GMedicaid
NC2117920OtherMAMSI PROV ID
NC0838GOtherBCBS
NC619169OtherACN & UHC PROV ID
NC2117920OtherMAMSI PROV ID
NCU67741Medicare UPIN