Provider Demographics
NPI:1356510200
Name:MACARY FAMILY CHIROPRACTIC, PA
Entity type:Organization
Organization Name:MACARY FAMILY CHIROPRACTIC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MACARY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-254-1767
Mailing Address - Street 1:270 BROOKSTONE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-9586
Mailing Address - Country:US
Mailing Address - Phone:828-254-1767
Mailing Address - Fax:
Practice Address - Street 1:30 RAVENSCROFT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3611
Practice Address - Country:US
Practice Address - Phone:828-254-1767
Practice Address - Fax:828-254-1772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905344Medicaid
NCV05010Medicare UPIN
NC5905344Medicaid