Organization
DEMOCKO CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W. DEMOCKO D.C. (OWNER)
(919) 735-2205
Entity
Organization
Contact information
Practice address
1802 E ASH ST, GOLDSBORO, NC 27530-4045
(919) 735-2205
(919) 735-2045
Mailing address
1802 E. ASH ST., GOLDSBORO, NC 27530
(919) 735-2205
(919) 735-2045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833A
BCBS PROVIDER NUMBER
NC
01
—
0914L
CNC PROVIDER NUMBER
NC
05
—
890833A
—
NC
05
—
890837V
—
NC
Enumeration date
12/12/2006
Last updated
02/26/2008
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