Provider Demographics
NPI:1174703557
Name:STUDLEY CHIROPRACTIC CLINIC, INC.
Entity type:Organization
Organization Name:STUDLEY CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:STUDLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:828-835-9586
Mailing Address - Street 1:1787 US HIGHWAY 64, WEST, STE. 1
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906
Mailing Address - Country:US
Mailing Address - Phone:828-835-9586
Mailing Address - Fax:828-837-2996
Practice Address - Street 1:1787 US HIGHWAY 64 WEST, STE. 1
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906
Practice Address - Country:US
Practice Address - Phone:828-835-9586
Practice Address - Fax:828-837-2996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2346777Medicare PIN