Individual
DR. BRAD DAVID LONDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
518 S DEKALB ST, SHELBY, NC 28150-5927
(704) 482-7271
Mailing address
518 S DEKALB ST, SHELBY, NC 28150-5927
(704) 482-7271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08595
BLUE CROSS BLUE SHIELD
NC
05
—
7908595
—
NC
Enumeration date
12/08/2006
Last updated
07/08/2007
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