Organization
FAYETTEVILLE CHIROPRACTIC
Active
Other names
Fayetteville Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME E FONKE D.C. (PRESIDENT)
(910) 484-5999
Entity
Organization
Contact information
Practice address
205 OWEN DR, FAYETTEVILLE, NC 28304-3409
(910) 484-5999
(910) 484-2523
Mailing address
424 GRAYLYN PL, FAYETTEVILLE, NC 28314-2630
(910) 864-8180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1875
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0840G
BCBS OF NC
NC
05
—
890823W
—
NC
Enumeration date
09/20/2006
Last updated
10/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us