Provider Demographics
NPI:1659381945
Name:CUMBERLAND CHIROPRACTIC NORTH INC
Entity Type:Organization
Organization Name:CUMBERLAND CHIROPRACTIC NORTH INC
Other - Org Name:BACK & NECK PAIN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHMET
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ERGUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-488-4477
Mailing Address - Street 1:PO BOX 9280
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9083
Mailing Address - Country:US
Mailing Address - Phone:910-488-4477
Mailing Address - Fax:910-488-3577
Practice Address - Street 1:3217 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3183
Practice Address - Country:US
Practice Address - Phone:910-488-4477
Practice Address - Fax:910-488-3577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0843POtherBCBS
4313519OtherCSI
5167042OtherAETNA
609654OtherACN
NC890109MMedicaid
=========OtherUNITED HEALTHCARE
NC0843POtherBCBS
=========OtherTRIAD
=========OtherHUMANA
5167042OtherAETNA
U55068Medicare UPIN