Individual
DR. SALVATORE COSIMO DANIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D,C.
Contact information
Practice address
1905 SKIBO RD STE 103, FAYETTEVILLE, NC 28314-0261
(910) 480-1111
(910) 480-1113
Mailing address
439 WESTWOOD SHOPPING CTR, SUITE 5, FAYETTEVILLE, NC 28314-1532
(910) 480-1111
(910) 480-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085UX
BLUE CROSS/BLUE SHIELD
NC
01
—
2457877
MEDICARE INDIVIDUAL PTAN
NC
01
—
607554400
ACS-DEPT. OF LABOR
NC
01
—
662673
AMERICAN CHIRO. NETWORK
NC
05
—
89085UX
—
NC
Enumeration date
08/28/2006
Last updated
07/10/2024
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