Organization
LINEBERRY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LINEBERRY D.C. (PRESIDENT)
(336) 548-2225
Entity
Organization
Contact information
Practice address
901 S AYERSVILLE RD, MAYODAN, NC 27027-2957
(336) 548-2225
Mailing address
901 S AYERSVILLE RD, PO BOX 10, MAYODAN, NC 27027-2957
(336) 548-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0826U
BLUE CROSS BLUE SHIELD
NC
05
—
8908264
—
NC
Enumeration date
11/06/2006
Last updated
12/18/2007
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