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Organization

SHAVER CHIROPRACTIC

Active
Other names
Shaver Chiropractic & Natural Medicine Office, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND TODD SHAVER DC DICCP (PRESIDENT)
(910) 452-5555
Entity
Organization

Contact information

Practice address
4421 JUNCTION PARK DRIVE, SUITE 100, WILMINGTON, NC 28412-2263
(910) 452-5555
(910) 452-5044
Mailing address
4421 JUNCTION PARK DRIVE, SUITE 100, WILMINGTON, NC 28412-2263
(910) 452-5555
(910) 452-5044

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1781
NC
111NP0017X
Pediatric Chiropractor
1781
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0877B
BCBS
NC
01
2446941A
MEDICARE INDIVIDUAL PROVIDER PTAN
NC
01
2446941B
MEDICARE GROUP PROVIDER PTAN
NC
05
890877B
NC
Enumeration date
09/20/2006
Last updated
05/06/2014
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