Provider Demographics
NPI:1760824734
Name:MOUNTAIN VIEW CHIROPRACTIC & WELLNESS CENTER, PLLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW CHIROPRACTIC & WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:ROMER
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-349-9249
Mailing Address - Street 1:260 BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2994
Mailing Address - Country:US
Mailing Address - Phone:828-349-9249
Mailing Address - Fax:
Practice Address - Street 1:260 BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2994
Practice Address - Country:US
Practice Address - Phone:828-349-9249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC3208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty