Provider Demographics
NPI:1851622088
Name:MORRISVILLE CHIROPRACTIC
Entity Type:Organization
Organization Name:MORRISVILLE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:AVITABILE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-532-1000
Mailing Address - Street 1:1000 BEAR CAT WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6619
Mailing Address - Country:US
Mailing Address - Phone:919-532-1000
Mailing Address - Fax:919-532-1600
Practice Address - Street 1:1000 BEAR CAT WAY STE 101
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6619
Practice Address - Country:US
Practice Address - Phone:919-532-1000
Practice Address - Fax:919-532-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty