Organization
FIDLER CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PERRY FIDLER DC (OWNER/CHIROPRACTOR)
(828) 264-1561
Entity
Organization
Contact information
Practice address
2301 HIGHWAY 105, BOONE, NC 28607-7814
(828) 264-1561
(828) 264-1560
Mailing address
2301 HIGHWAY 105, BOONE, NC 28607-7814
(828) 264-1561
(828) 264-1560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
200001376959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08409
BCBS NC
NC
01
—
1750501722
NPI INDIVIDUAL
NC
Enumeration date
08/18/2007
Last updated
08/18/2007
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