Organization Name: | LITTLE RIVER CLINIC OF CHIROPRACTIC INC |
NPI Number: | 1194125005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA GUNDELFINGER (CO-OWNER) |
Mailing Address: | 34 Oleander Dr Ste 104 Clayton |
State: | NC US |
Postal Code: | 275274599 |
Phone Number: | 9195851313 |
Fax Number: | 9195851350 |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |