Baltich, Derik Nelson

Baltich, Derik Nelson is an individual health care provider with primary practice located at 1086 River Hwy Suite D, Mooresville NC 28117-9147. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baltich, Derik Nelson can be contacted via phone (704) 799-1999.

Contact Information

Primary practice address
1086 River Hwy Suite D Mooresville NC 28117-9147
Phone: (704) 799-1999
Fax: (704) 663-8225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3047 North Carolina

Profile Details

NPI number 1124198593
LBN Legal business name Baltich, Derik Nelson
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Feb 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124198593 NPPES
North Carolina MEDICAID 89085MF

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