Provider Demographics
NPI:1568638310
Name:ASHEVILLE CENTER FOR HEALTHY LIVING, PLLC
Entity Type:Organization
Organization Name:ASHEVILLE CENTER FOR HEALTHY LIVING, PLLC
Other - Org Name:ASHEVILLE CENTER FOR HEALTH EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSEL
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-253-1727
Mailing Address - Street 1:188 CHARLOTTE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1908
Mailing Address - Country:US
Mailing Address - Phone:828-253-1727
Mailing Address - Fax:828-707-9440
Practice Address - Street 1:188 CHARLOTTE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1908
Practice Address - Country:US
Practice Address - Phone:828-253-1727
Practice Address - Fax:828-707-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT60673Medicare UPIN