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Individual

DR. THOMAS JASON PERMENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9123 MONROE RD STE 100, CHARLOTTE, NC 28270-2456
(704) 569-3130
(704) 569-9797
Mailing address
9123 MONROE RD STE 100, CHARLOTTE, NC 28270-2456
(704) 569-3130
(704) 569-9797

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2671
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0838F
BCBS
NC
01
109362
WELLNESS PLAN
NC
01
2117085094101
BEECH STREET
NC
01
3467419
AETNA - HMO
NC
01
56-2215329
CNC
NC
01
606834-980061
ACN
NC
01
7572054
AETNA - PPO
NC
05
790838F
NC
01
963043003
CIGNA
NC
01
NC3802
PREFERRED CHIRO CARE
NC
Enumeration date
08/01/2005
Last updated
01/20/2022
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