Provider Demographics
NPI:1811908866
Name:VOSWINKEL, BERT J JR (DC)
Entity type:Individual
Prefix:DR
First Name:BERT
Middle Name:J
Last Name:VOSWINKEL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 N CEDAR ST
Mailing Address - Street 2:SUITE 725
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-1292
Mailing Address - Country:US
Mailing Address - Phone:704-338-1960
Mailing Address - Fax:704-338-1970
Practice Address - Street 1:120 N CEDAR ST
Practice Address - Street 2:SUITE 725
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-1292
Practice Address - Country:US
Practice Address - Phone:704-338-1960
Practice Address - Fax:704-338-1970
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2016-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2349095Medicare UPIN
NCU76230Medicare UPIN
NC890838RMedicaid