Individual
DR. MICHAEL DEBARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 BOONE SQUARE ST, SUITE 27, HILLSBOROUGH, NC 27278-2564
(919) 732-6991
Mailing address
110 BOONE SQUARE ST, SUITE 27, HILLSBOROUGH, NC 27278-2564
(919) 732-6991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08347
BCBS
NC
Enumeration date
06/15/2006
Last updated
08/21/2007
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