Provider Demographics
NPI:1508814427
Name:WRIGHT, CHANDRA ELISE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:ELISE
Last Name:WRIGHT
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 1:1811 SARDIS RD N
Mailing Address - Street 2:SUITE206
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1426
Mailing Address - Country:US
Mailing Address - Phone:704-847-4797
Mailing Address - Fax:704-847-4810
Practice Address - Street 1:1811 SARDIS RD N
Practice Address - Street 2:SUITE206
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1426
Practice Address - Country:US
Practice Address - Phone:704-847-4797
Practice Address - Fax:704-847-4810
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2458519Medicare ID - Type Unspecified
U86562Medicare UPIN