Provider Demographics
NPI:1629019872
Name:DALLIES, HENRI JACQUES (DC)
Entity Type:Individual
Prefix:DR
First Name:HENRI
Middle Name:JACQUES
Last Name:DALLIES
Suffix:
Gender:M
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:1032 GREENVILLE HWY
Mailing Address - Street 2:THE APPLE VALLEY CLINIC OF CHIROPRACTIC
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4828
Mailing Address - Country:US
Mailing Address - Phone:828-698-6677
Mailing Address - Fax:828-698-1197
Practice Address - Street 1:1032 GREENVILLE HWY
Practice Address - Street 2:THE APPLE VALLEY CLINIC OF CHIROPRACTIC
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4828
Practice Address - Country:US
Practice Address - Phone:828-698-6677
Practice Address - Fax:828-698-1197
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2027111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU27491Medicare UPIN
NC2448288BMedicare ID - Type Unspecified