Provider Demographics
NPI:1801991260
Name:CASE CHIROPRACTIC INCORPORATED
Entity type:Organization
Organization Name:CASE CHIROPRACTIC INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARI
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-363-0041
Mailing Address - Street 1:207 W CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1895
Mailing Address - Country:US
Mailing Address - Phone:919-363-0041
Mailing Address - Fax:919-363-0574
Practice Address - Street 1:207 W CHATHAM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1895
Practice Address - Country:US
Practice Address - Phone:919-363-0041
Practice Address - Fax:919-363-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7240176OtherAETNA
NC890845JMedicaid
NC2377667OtherAETNA HMO
NC350054455OtherRAILROAD MEDICARE
NC0845JOtherBCBS
NC283534OtherMAMSI
NCU80651Medicare UPIN
NC890845JMedicaid