Provider Demographics
NPI:1790971638
Name:COMPLETE HEALTHCARE
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE
Other - Org Name:HEALTHWORKS CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-510-1510
Mailing Address - Street 1:8420 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-9748
Mailing Address - Country:US
Mailing Address - Phone:704-510-1510
Mailing Address - Fax:704-510-0409
Practice Address - Street 1:8420 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 400
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-9748
Practice Address - Country:US
Practice Address - Phone:704-510-1510
Practice Address - Fax:704-510-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2699111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
085FFOtherBCBS
NC2454186Medicare UPIN