Provider Demographics
NPI:1972754760
Name:CARE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CARE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FOTINE
Authorized Official - Middle Name:SOPHIA
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-786-9996
Mailing Address - Street 1:5041 SIX FORKS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4494
Mailing Address - Country:US
Mailing Address - Phone:919-786-9996
Mailing Address - Fax:919-786-9676
Practice Address - Street 1:5041 SIX FORKS RD STE 105
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4494
Practice Address - Country:US
Practice Address - Phone:919-786-9996
Practice Address - Fax:919-786-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU71226Medicare UPIN