Provider Demographics
NPI:1558435677
Name:SYLVIA CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:SYLVIA CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:SYLVIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:252-523-1900
Mailing Address - Street 1:2601 N HERRITAGE ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1502
Mailing Address - Country:US
Mailing Address - Phone:252-523-1900
Mailing Address - Fax:252-523-2748
Practice Address - Street 1:2601 N HERRITAGE ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1502
Practice Address - Country:US
Practice Address - Phone:252-523-1900
Practice Address - Fax:252-523-2748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08703OtherBLUE CROSS BLUE SHIELD
NC8908703Medicaid
NC1154425460OtherINDIVIDUAL NPI #
NC2450489BMedicare ID - Type UnspecifiedMEDICARE IDENTIFICATION N
NCU48893Medicare UPIN