Provider Demographics
NPI:1700915659
Name:CASON CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:CASON CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-820-0147
Mailing Address - Street 1:7476 WATERSIDE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7679
Mailing Address - Country:US
Mailing Address - Phone:704-820-0147
Mailing Address - Fax:704-820-0629
Practice Address - Street 1:7476 WATERSIDE LOOP RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7679
Practice Address - Country:US
Practice Address - Phone:704-820-0147
Practice Address - Fax:704-820-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty