Provider Demographics
NPI:1952627564
Name:TAULMAN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:TAULMAN CHIROPRACTIC CORPORATION
Other - Org Name:GASTON UPPER CERVICAL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TAULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-879-9071
Mailing Address - Street 1:3302 S NEW HOPE RD
Mailing Address - Street 2:SUITE 100-F
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8317
Mailing Address - Country:US
Mailing Address - Phone:704-879-9071
Mailing Address - Fax:704-879-9073
Practice Address - Street 1:3302 S NEW HOPE RD
Practice Address - Street 2:SUITE 100-F
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8317
Practice Address - Country:US
Practice Address - Phone:704-879-9071
Practice Address - Fax:704-879-9073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3533261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center