Provider Demographics
NPI:1578864591
Name:MCPHATTER, DENISE MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MICHELLE
Last Name:MCPHATTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CODDLE MARKET DRIVE
Mailing Address - Street 2:STE. # 120
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027
Mailing Address - Country:US
Mailing Address - Phone:614-946-6518
Mailing Address - Fax:
Practice Address - Street 1:327 CODDLE MARKET DRIVE
Practice Address - Street 2:STE. # 120
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:614-946-6518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty