Provider Demographics
NPI:1841743697
Name:ASHEBORO CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ASHEBORO CHIROPRACTIC PLLC
Other - Org Name:BLASE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MCCALL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-625-1750
Mailing Address - Street 1:177 NC HIGHWAY 42 N STE A
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-7955
Mailing Address - Country:US
Mailing Address - Phone:336-625-1750
Mailing Address - Fax:336-629-7650
Practice Address - Street 1:177 NC HIGHWAY 42 N STE A
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-7955
Practice Address - Country:US
Practice Address - Phone:336-625-1750
Practice Address - Fax:336-629-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty