Provider Demographics
NPI:1457423212
Name:MCDOWELL CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:MCDOWELL CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-659-3999
Mailing Address - Street 1:1500 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-8803
Mailing Address - Country:US
Mailing Address - Phone:828-659-3999
Mailing Address - Fax:828-659-3998
Practice Address - Street 1:1500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-8803
Practice Address - Country:US
Practice Address - Phone:828-659-3999
Practice Address - Fax:828-659-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1890111N00000X
NC171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0828EOtherBCBS PROVIDER #
NC607963OtherACN PROVIDER #
NC890828EMedicaid
NC890828EMedicaid
NC607963OtherACN PROVIDER #