Provider Demographics
NPI:1942420823
Name:FAMILY HEALING CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:FAMILY HEALING CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC ASST.
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRYL
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-540-0055
Mailing Address - Street 1:7245 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6163
Mailing Address - Country:US
Mailing Address - Phone:704-540-0055
Mailing Address - Fax:704-540-0102
Practice Address - Street 1:7245 PINEVILLE MATTHEWS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6163
Practice Address - Country:US
Practice Address - Phone:704-540-0055
Practice Address - Fax:704-540-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2338729Medicare ID - Type Unspecified