Provider Demographics
NPI:1013075548
Name:BRIARCLIFF CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:BRIARCLIFF CHIROPRACTIC CENTER
Other - Org Name:MOUNTAIN VIEW CHIROPRACTIC & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-349-9249
Mailing Address - Street 1:260 BIDWELL STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734
Mailing Address - Country:US
Mailing Address - Phone:828-349-9249
Mailing Address - Fax:828-349-2337
Practice Address - Street 1:260 BIDWELL STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734
Practice Address - Country:US
Practice Address - Phone:828-349-9249
Practice Address - Fax:828-349-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0841HOtherBLUE CROSS BLUE SHIELD
NC2453920Medicare ID - Type Unspecified
NC0841HOtherBLUE CROSS BLUE SHIELD