Organization
BLASE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN J BLASE D.C. (OWNER)
(336) 625-1750
Entity
Organization
Contact information
Practice address
177 NC HIGHWAY 42 N STE A, ASHEBORO, NC 27203-7955
(336) 625-1750
(336) 629-7650
Mailing address
177 NC HIGHWAY 42 N STE A, ASHEBORO, NC 27203-7955
(336) 625-1750
(336) 629-7650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908259
—
NC
05
—
89085K0
—
NC
Enumeration date
06/11/2007
Last updated
08/22/2020
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