Provider Demographics
NPI:1598968026
Name:DRUZBIK FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DRUZBIK FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUZBIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-878-9744
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-0026
Mailing Address - Country:US
Mailing Address - Phone:704-878-9744
Mailing Address - Fax:
Practice Address - Street 1:1835 DAVIE AVE STE 417
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3578
Practice Address - Country:US
Practice Address - Phone:704-878-9744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085CTOtherBCBSNC
NC89085CTMedicaid
NC89085CTMedicaid