Provider Demographics
NPI:1720170863
Name:ALAMANCE CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:ALAMANCE CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-228-6898
Mailing Address - Street 1:1711 SYKES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5616
Mailing Address - Country:US
Mailing Address - Phone:336-228-6898
Mailing Address - Fax:336-222-8333
Practice Address - Street 1:1711 SYKES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5616
Practice Address - Country:US
Practice Address - Phone:336-228-6898
Practice Address - Fax:336-222-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08303OtherBCBS OF NC
NC8908303 NCMedicaid
NC8908303 NCMedicaid
NC244323Medicare ID - Type Unspecified