Provider Demographics
NPI:1437257391
Name:PAI CLINIC OF CHIROPRACTIC & SPORTS MEDICINE
Entity Type:Organization
Organization Name:PAI CLINIC OF CHIROPRACTIC & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:KARNIRE
Authorized Official - Last Name:PAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-599-0900
Mailing Address - Street 1:8821 UNIVERSITY EAST DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4200
Mailing Address - Country:US
Mailing Address - Phone:704-599-0900
Mailing Address - Fax:704-599-0998
Practice Address - Street 1:8821 UNIVERSITY EAST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4200
Practice Address - Country:US
Practice Address - Phone:704-599-0900
Practice Address - Fax:704-599-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2815261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085J4Medicaid
NC89085J4Medicaid
NC2332633Medicare ID - Type UnspecifiedPROVIDER NUMBER
NC2455475Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER