Provider Demographics
NPI:1871682583
Name:ANDREWS FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ANDREWS FAMILY CHIROPRACTIC LLC
Other - Org Name:DR KEVIN O BRIEN DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:O BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-321-2173
Mailing Address - Street 1:18 TOWN BRANCH ROAD
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:NC
Mailing Address - Zip Code:28901
Mailing Address - Country:US
Mailing Address - Phone:828-321-2173
Mailing Address - Fax:828-321-2173
Practice Address - Street 1:18 TOWN BRANCH ROAD
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901
Practice Address - Country:US
Practice Address - Phone:828-321-2173
Practice Address - Fax:828-321-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1837111N00000X
SC1530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0867BOtherSTATE HEALTH PLAN
NC89085RHMedicaid
5092103OtherAETNA
085RHOtherCNC BCBS
2447371AMedicare ID - Type Unspecified
085RHOtherCNC BCBS