Provider Demographics
NPI:1568716199
Name:TRY CHIROPRACTIC FIRST
Entity Type:Organization
Organization Name:TRY CHIROPRACTIC FIRST
Other - Org Name:DUPLIN COUNTY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-296-0019
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:KENANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28349-0454
Mailing Address - Country:US
Mailing Address - Phone:910-296-0019
Mailing Address - Fax:910-226-2026
Practice Address - Street 1:102 N MAIN ST.
Practice Address - Street 2:SUITE #3
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349
Practice Address - Country:US
Practice Address - Phone:910-296-0019
Practice Address - Fax:910-226-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC920Medicare PIN