Provider Demographics
NPI:1912245663
Name:SIEGEL CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:SIEGEL CHIROPRACTIC, INC
Other - Org Name:SIEGEL CHIROPRACTIC AND MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-681-5681
Mailing Address - Street 1:2712 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8651
Mailing Address - Country:US
Mailing Address - Phone:828-681-5681
Mailing Address - Fax:828-687-7661
Practice Address - Street 1:2712 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8651
Practice Address - Country:US
Practice Address - Phone:828-681-5681
Practice Address - Fax:828-687-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0821LOtherBCBS
NC890821LMedicaid
NCU65335Medicare UPIN