Provider Demographics
NPI:1619209616
Name:BORGERT FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:BORGERT FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-362-5646
Mailing Address - Street 1:320 N SALEM ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1481
Mailing Address - Country:US
Mailing Address - Phone:919-362-5646
Mailing Address - Fax:919-362-5647
Practice Address - Street 1:320 N SALEM ST
Practice Address - Street 2:SUITE 102
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1481
Practice Address - Country:US
Practice Address - Phone:919-362-5646
Practice Address - Fax:919-362-5647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4066111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty