Organization
TRULL CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED L TRULL II DC (SECRETARY TREASURER)
(704) 938-1141
Entity
Organization
Contact information
Practice address
1739 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-2102
(704) 938-1141
(704) 938-1143
Mailing address
1739 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-2102
(704) 938-1141
(704) 938-1143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1437
NC
111N00000X
Chiropractor
1438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214P
BCBSNC
NC
05
—
890214P
—
NC
Enumeration date
03/02/2006
Last updated
08/22/2020
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