Provider Demographics
NPI:1881790848
Name:WILLEN CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:WILLEN CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-855-8560
Mailing Address - Street 1:3808 HIGH POINT RD
Mailing Address - Street 2:SUTIE H
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-4713
Mailing Address - Country:US
Mailing Address - Phone:336-855-8560
Mailing Address - Fax:336-855-5938
Practice Address - Street 1:3808 HIGH POINT RD
Practice Address - Street 2:SUITE H
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4713
Practice Address - Country:US
Practice Address - Phone:336-855-8560
Practice Address - Fax:336-855-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC1406111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08922OtherBCBS
NC330532OtherACN
NC5175103OtherFIRST HEALTH
NC8444OtherPARTNERS
NC8908922Medicaid
NC44-09021OtherUNITED HEALTH CARE
NC24885OtherMEDCOST
NC11008887OtherCAQH
NC282687OtherPHCS
NC44-09021OtherUNITED HEALTH CARE
NC330532OtherACN