Individual
DR. MICHAEL J CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5306 SOUTH BOULEVARD, CHARLOTTE, NC 28217-4116
(704) 525-0026
(704) 525-9189
Mailing address
5306 SOUTH BOULEVARD, CHARLOTTE, NC 28217-4116
(704) 525-0026
(704) 525-9189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827M
BCBS
NC
05
—
890827T
—
NC
Enumeration date
10/26/2007
Last updated
10/26/2007
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