Provider Demographics
NPI:1356597389
Name:NOEL CHIROPRACTIC CENTRE, PLLC
Entity type:Organization
Organization Name:NOEL CHIROPRACTIC CENTRE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-942-6900
Mailing Address - Street 1:1504 E FRANKLIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2820
Mailing Address - Country:US
Mailing Address - Phone:919-942-6900
Mailing Address - Fax:919-942-6930
Practice Address - Street 1:1504 E FRANKLIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2820
Practice Address - Country:US
Practice Address - Phone:919-942-6900
Practice Address - Fax:919-942-6930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1721OtherNORTH CAROLINA BOARD OF CHIROPRACTIC EXAMINERS
NC2335903Medicare PIN