Provider Demographics
NPI:1932290996
Name:CHARLET, SPENCER MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:MICHAEL
Last Name:CHARLET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 WILLIAMSON RD
Mailing Address - Street 2:STE E
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9119
Mailing Address - Country:US
Mailing Address - Phone:704-663-7625
Mailing Address - Fax:
Practice Address - Street 1:570 WILLIAMSON RD STE E
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9119
Practice Address - Country:US
Practice Address - Phone:704-663-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor