Provider Demographics
NPI:1659604692
Name:WNC CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:WNC CHIROPRACTIC, PLLC
Other - Org Name:WNC CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNAE
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-687-7779
Mailing Address - Street 1:1998 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2349
Mailing Address - Country:US
Mailing Address - Phone:828-687-7779
Mailing Address - Fax:828-687-7781
Practice Address - Street 1:1998 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2349
Practice Address - Country:US
Practice Address - Phone:828-687-7779
Practice Address - Fax:828-687-7781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty