Provider Demographics
NPI:1740377753
Name:WELCH, DANIELLE L (DC)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:L
Last Name:WELCH
Suffix:
Gender:F
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:PO BOX 2208
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-2208
Mailing Address - Country:US
Mailing Address - Phone:828-443-7917
Mailing Address - Fax:828-438-1162
Practice Address - Street 1:216 N STERLING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3314
Practice Address - Country:US
Practice Address - Phone:828-443-7917
Practice Address - Fax:828-438-1162
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891274YMedicaid
NC1274YOtherBCBS
NCU90731Medicare UPIN
NC1274YOtherBCBS