Provider Demographics
NPI:1356121388
Name:ABUMOHSEN, AHMAD BASHIR (DC)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:BASHIR
Last Name:ABUMOHSEN
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 1:7107 DREW HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6947
Mailing Address - Country:US
Mailing Address - Phone:910-674-9519
Mailing Address - Fax:
Practice Address - Street 1:302 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-7747
Practice Address - Country:US
Practice Address - Phone:910-674-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty