Provider Demographics
NPI:1609837467
Name:CATAWBA CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:CATAWBA CHIROPRACTIC CORPORATION
Other - Org Name:WILKESBORO CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:COHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC NMD MD
Authorized Official - Phone:336-667-6464
Mailing Address - Street 1:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:MORAVIAN FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28654-0878
Mailing Address - Country:US
Mailing Address - Phone:336-667-6464
Mailing Address - Fax:336-667-4488
Practice Address - Street 1:308 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697
Practice Address - Country:US
Practice Address - Phone:336-667-6464
Practice Address - Fax:336-667-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty