Organization
STAKER CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD STAKER D.C. (PRESIDENT)
(919) 460-1515
Entity
Organization
Contact information
Practice address
3550 NW CARY PKWY, SUITE 104, CARY, NC 27513-7409
(919) 460-1515
(919) 460-1979
Mailing address
3550 NW CARY PKWY, SUITE 104, CARY, NC 27513-7409
(919) 460-1515
(919) 460-1979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2354
NC
111N00000X
Chiropractor
2936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01211
BCBS
NC
01
—
085CN
BCBS
NC
05
—
8901211
—
NC
Enumeration date
09/20/2006
Last updated
01/27/2011
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