Provider Demographics
NPI:1639355662
Name:MUSACCHIO CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MUSACCHIO CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSACCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-455-1000
Mailing Address - Street 1:5500 HIGHWAY 49 S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8414
Mailing Address - Country:US
Mailing Address - Phone:704-455-1000
Mailing Address - Fax:
Practice Address - Street 1:5500 HIGHWAY 49 S
Practice Address - Street 2:SUITE 400
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-8414
Practice Address - Country:US
Practice Address - Phone:704-455-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty