Lake Norman Chiropractic Center

LBN: Lake Norman Chiropractic Center
Lake Norman Chiropractic Center is an health care organization with primary practice located at 612 N Main St , Mooresville NC 28115-2312. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is the primary health care specialty. Lake Norman Chiropractic Center can be contacted via phone (704) 664-3455, or through Abernathy, Todd Fulton via phone (704) 664-3455.

Contact Information

Primary practice address
612 N Main St Mooresville NC 28115-2312
Phone: (704) 664-3455
Fax: (704) 664-2827
Website:
Map and Directions
Authorized official contact:
Name: Abernathy, Todd Fulton D.C., C.C.S.P.
Phone: (704) 664-3455

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Chiropractic Providers / Sports Physician 111NS0005X

Profile Details

NPI number 1801832811
LBN Legal business name Lake Norman Chiropractic Center
DBA Doing business as
Authorized official Abernathy, Todd Fulton D.C., C.C.S.P.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801832811 NPPES
North Carolina Other 085A6 BCBS INDIVIDUAL
North Carolina Other 42162996 BCBS INDIVIDUAL
North Carolina Other 617420 BCBS INDIVIDUAL
North Carolina Other 53164 BCBS INDIVIDUAL
North Carolina Other 350053151 BCBS INDIVIDUAL
North Carolina Other 7741266 BCBS INDIVIDUAL
North Carolina Other 0194L BCBS INDIVIDUAL
North Carolina Other 208640 BCBS INDIVIDUAL
North Carolina Other 43954 BCBS INDIVIDUAL
North Carolina Other 4881 BCBS INDIVIDUAL
North Carolina Other 5909823002 BCBS INDIVIDUAL
North Carolina MEDICAID 89085A6 BCBS INDIVIDUAL

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