Provider Demographics
NPI:1477502003
Name:REMETA, ESTHER MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:MARIE
Last Name:REMETA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24845
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27114-4845
Mailing Address - Country:US
Mailing Address - Phone:336-940-2924
Mailing Address - Fax:336-766-0608
Practice Address - Street 1:2505 NEUDORF RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9229
Practice Address - Country:US
Practice Address - Phone:336-940-2924
Practice Address - Fax:336-766-0608
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC244570BOtherMEDICARE ID - TYPE UNSPECIFIED
NC890830RMedicaid
NC0830ROtherBLUE CROSS BLUE SHIELD
NC244570BOtherMEDICARE ID - TYPE UNSPECIFIED