Organization
EAGLE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JAMES EAGLE D.C (DOCTOR)
(704) 596-5800
Entity
Organization
Contact information
Practice address
6116 N TRYON ST, CHARLOTTE, NC 28213-7815
(704) 596-5800
(704) 509-6001
Mailing address
6116 N TRYON ST, CHARLOTTE, NC 28213-7815
(704) 596-5800
(704) 509-6001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08377
BCBS ID
NC
01
—
18021
PARTNERS ID
NC
01
—
330149
ACN
NC
05
—
8908377
—
NC
Enumeration date
11/06/2006
Last updated
08/20/2007
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