Provider Demographics
NPI:1255435962
Name:NOAH, DON W (DC)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:W
Last Name:NOAH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:207 NORTH MARSHALL STREET
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253
Mailing Address - Country:US
Mailing Address - Phone:336-227-1266
Mailing Address - Fax:336-227-1267
Practice Address - Street 1:207 NORTH MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253
Practice Address - Country:US
Practice Address - Phone:336-227-1266
Practice Address - Fax:336-227-1267
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC676111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD8670OtherBCBS
NC14057OtherPARTNERS
NC14057OtherPARTNERS
T64226Medicare UPIN