Provider Demographics
NPI:1558813998
Name:ONE LOVE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ONE LOVE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-505-1584
Mailing Address - Street 1:959 MERRIMON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2353
Mailing Address - Country:US
Mailing Address - Phone:828-505-1584
Mailing Address - Fax:828-505-8967
Practice Address - Street 1:959 MERRIMON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-505-1584
Practice Address - Fax:828-505-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization