Provider Demographics
NPI:1760892103
Name:THRIVE FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:THRIVE FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSBEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:980-237-7646
Mailing Address - Street 1:16631 LANCASTER HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3598
Mailing Address - Country:US
Mailing Address - Phone:980-237-7646
Mailing Address - Fax:980-237-0819
Practice Address - Street 1:16631 LANCASTER HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3598
Practice Address - Country:US
Practice Address - Phone:980-237-7646
Practice Address - Fax:980-237-0819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty