Individual
TINA SIGNE AXELSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7290 13 BEACH DRIVE SW, OCEAN ISLE BEACH, NC 28469
(910) 579-4888
(910) 579-4888
Mailing address
7290 13 BEACH DRIVE SW, OCEAN ISLE BEACH, NC 28469
(910) 579-4888
(910) 579-4888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2423
SC
111N00000X
Chiropractor
Primary
2768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845G
BCBS
NC
05
—
890845G
—
NC
01
—
CH2423
MEDICAID
SC
01
—
M451
EDI
NC
01
—
PB197Q
STRATUS
NC
Enumeration date
08/22/2006
Last updated
07/08/2007
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