Provider Demographics
NPI:1962480582
Name:VANNOTE, ADRIAN ROBERT (DC)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:ROBERT
Last Name:VANNOTE
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 1:1807 GLEN EAGLES LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-6200
Mailing Address - Country:US
Mailing Address - Phone:910-256-6549
Mailing Address - Fax:
Practice Address - Street 1:1375 S 16TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6421
Practice Address - Country:US
Practice Address - Phone:910-343-1212
Practice Address - Fax:910-343-1178
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08886OtherBCBS PROVIDER NUMBER
NC08886OtherBCBS PROVIDER NUMBER