Provider Demographics
NPI:1518108869
Name:STORY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:STORY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-564-6659
Mailing Address - Street 1:PO BOX 1719
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-1719
Mailing Address - Country:US
Mailing Address - Phone:919-564-6659
Mailing Address - Fax:
Practice Address - Street 1:24245 DEER RUN RD
Practice Address - Street 2:
Practice Address - City:COURTLAND
Practice Address - State:VA
Practice Address - Zip Code:23837-2215
Practice Address - Country:US
Practice Address - Phone:919-564-6659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty