Provider Demographics
NPI:1184706590
Name:BINDER CHIROPRACTIC CENTER P A
Entity type:Organization
Organization Name:BINDER CHIROPRACTIC CENTER P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-642-1415
Mailing Address - Street 1:2124 STATESVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1410
Mailing Address - Country:US
Mailing Address - Phone:704-642-1415
Mailing Address - Fax:
Practice Address - Street 1:2124 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1410
Practice Address - Country:US
Practice Address - Phone:704-642-1415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08318OtherBLUE CROSS BLUE SHIELD
NC7908318Medicaid
NCU02209Medicare UPIN
NC2446189BMedicare ID - Type UnspecifiedMEDICARE