Provider Demographics
NPI:1922122761
Name:CAROLINA CHIROPRACTIC CONSULTANTS, INC 8
Entity Type:Organization
Organization Name:CAROLINA CHIROPRACTIC CONSULTANTS, INC 8
Other - Org Name:VALLEY CORNERS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TOLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-267-0002
Mailing Address - Street 1:2223 B HWY. 70 SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602
Mailing Address - Country:US
Mailing Address - Phone:828-267-0002
Mailing Address - Fax:828-267-5950
Practice Address - Street 1:2223 B HWY. 70 SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602
Practice Address - Country:US
Practice Address - Phone:828-267-0002
Practice Address - Fax:828-267-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3158111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902919Medicaid
NC2344908Medicare ID - Type Unspecified