Organization
GORLESKY BACK & NECK CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK GORLESKY DC (OWNER)
(919) 556-1033
Entity
Organization
Contact information
Practice address
301 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 556-1033
(919) 556-1034
Mailing address
301 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 556-1033
(919) 556-1034
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08452
BLUE CROSS-BLUE SHIELD
NC
Enumeration date
11/07/2006
Last updated
08/22/2020
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