Provider Demographics
NPI:1528211869
Name:FOLTZ FAMILY CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:FOLTZ FAMILY CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:FOLTZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:704-635-7727
Mailing Address - Street 1:1736 DICKERSON BLVD
Mailing Address - Street 2:STE. F
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2832
Mailing Address - Country:US
Mailing Address - Phone:704-635-7727
Mailing Address - Fax:704-635-7756
Practice Address - Street 1:1736 DICKERSON BLVD
Practice Address - Street 2:STE. F
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2832
Practice Address - Country:US
Practice Address - Phone:704-635-7727
Practice Address - Fax:704-635-7756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908434Medicaid
NC8908434Medicaid
NCT-64503Medicare UPIN