Provider Demographics
NPI:1639731581
Name:STEELE CREEK CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:STEELE CREEK CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:VAN DYKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:980-209-0932
Mailing Address - Street 1:6220 CASTLECOVE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-6643
Mailing Address - Country:US
Mailing Address - Phone:980-209-0932
Mailing Address - Fax:
Practice Address - Street 1:11709 FREUHAUF DR.
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-7285
Practice Address - Country:US
Practice Address - Phone:980-209-0932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty