Provider Demographics
NPI:1699845594
Name:MONROE ACUPUNCTURE & CHIROPRACTIC P.A.
Entity Type:Organization
Organization Name:MONROE ACUPUNCTURE & CHIROPRACTIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMIOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-282-9988
Mailing Address - Street 1:4520 W HIGHWAY 74
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-8451
Mailing Address - Country:US
Mailing Address - Phone:704-282-9988
Mailing Address - Fax:704-282-9990
Practice Address - Street 1:4520 W HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-8451
Practice Address - Country:US
Practice Address - Phone:704-282-9988
Practice Address - Fax:704-282-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2339470Medicare ID - Type Unspecified
U01834Medicare UPIN