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Individual

MR. EDWARD JOSEPH STEEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1409 PIERSON DR, CHARLOTTE, NC 28205-6445
(704) 563-5001
(704) 563-5072
Mailing address
1409 PIERSON DR, CHARLOTTE, NC 28205-6445
(704) 563-5001
(704) 563-5072

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1381
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0247G
BLUE CROSS BLUE SHIELD
NC
01
56-1347650
TAX IDENTIFICATION NUMBER
NC
05
8908804
NC
Enumeration date
09/13/2006
Last updated
01/31/2012
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