Provider Demographics
NPI:1720294051
Name:GINTER, ERIC ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALLEN
Last Name:GINTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5240 LAKE EDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9181
Mailing Address - Country:US
Mailing Address - Phone:919-851-1515
Mailing Address - Fax:
Practice Address - Street 1:5240 LAKE EDGE DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9181
Practice Address - Country:US
Practice Address - Phone:919-851-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890832TMedicaid
NC0832TOtherBCBS PROVIDER ID
NCU71988Medicare UPIN
NC2452276BMedicare PIN
NC2452276AMedicare ID - Type Unspecified