Provider Demographics
NPI:1558582353
Name:FRANCES E. DECHURCH & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:FRANCES E. DECHURCH & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DECHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-361-0244
Mailing Address - Street 1:829 S SCALES ST
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5331
Mailing Address - Country:US
Mailing Address - Phone:336-361-0244
Mailing Address - Fax:336-361-0245
Practice Address - Street 1:829 S SCALES ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5331
Practice Address - Country:US
Practice Address - Phone:336-361-0244
Practice Address - Fax:336-361-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501225207Q00000X
NC9300679207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013GROtherBCBS GROUP
NC89013GTMedicaid
NC2335675Medicare ID - Type UnspecifiedMEDICARE GROUP
NCE52925Medicare UPIN
NCC47584Medicare UPIN