Provider Demographics
NPI:1760868400
Name:CAROLINA CHIROPRACTIC PLUS OF RUTHERFORD
Entity Type:Organization
Organization Name:CAROLINA CHIROPRACTIC PLUS OF RUTHERFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:MERRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-245-0202
Mailing Address - Street 1:152 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3023
Mailing Address - Country:US
Mailing Address - Phone:828-245-0202
Mailing Address - Fax:828-245-0422
Practice Address - Street 1:152 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3023
Practice Address - Country:US
Practice Address - Phone:828-245-0202
Practice Address - Fax:828-245-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty