Provider Demographics
NPI:1497148928
Name:ROCK CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:ROCK CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-223-7242
Mailing Address - Street 1:1616 EVANS RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9653
Mailing Address - Country:US
Mailing Address - Phone:214-223-7242
Mailing Address - Fax:
Practice Address - Street 1:1616 EVANS RD STE 150
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9653
Practice Address - Country:US
Practice Address - Phone:214-223-7242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty