Organization
FAIRVIEW CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD G REILLY D.C. (OWNER)
(828) 628-7800
Entity
Organization
Contact information
Practice address
2 FAIRVIEW HILLS DR, FAIRVIEW, NC 28730-9777
(828) 628-7800
(828) 628-4328
Mailing address
2 FAIRVIEW HILLS DR, FAIRVIEW, NC 28730-9777
(828) 628-7800
(828) 628-4328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016X4
BCBS GROUP #
NC
01
—
0832J
BCBS PROVIDER #
NC
05
—
5900722
—
NC
01
—
605759
ACN
NC
05
—
890832J
—
NC
Enumeration date
12/12/2006
Last updated
08/22/2020
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