Provider Demographics
NPI:1548349764
Name:ASHEVILLE CHIROPRACTIC & WELLNESS CENTER
Entity type:Organization
Organization Name:ASHEVILLE CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GUALANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:828-253-7378
Mailing Address - Street 1:553 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3559
Mailing Address - Country:US
Mailing Address - Phone:828-253-7378
Mailing Address - Fax:828-253-7379
Practice Address - Street 1:553 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3559
Practice Address - Country:US
Practice Address - Phone:828-253-7378
Practice Address - Fax:828-253-7379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1831143577OtherNPI INDIVIDUAL #
NC0846NOtherBCBS INDIVIDUAL #
NC0829KOtherBCBS GROUP #
NC2449021AMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
NC2449269Medicare ID - Type UnspecifiedMEDICARE GROUP #