Organization
STEVEN B. ROACH, D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B. ROACH D.C. (PRESIDENT)
(704) 853-8000
Entity
Organization
Contact information
Practice address
1846 E FRANKLIN BLVD, GASTONIA, NC 28054-4751
(704) 853-8000
(704) 864-0858
Mailing address
1846 E FRANKLIN BLVD, GASTONIA, NC 28054-4751
(704) 853-8000
(704) 864-0858
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
1593
SC
111NN1001X
Nutrition Chiropractor
Primary
1883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0876B
BLUE CROSS BLUE SHEILD
NC
01
—
606755
AMERICAN CHIROPRACTIC NET
NC
05
—
890876B
—
NC
Enumeration date
12/12/2006
Last updated
02/23/2008
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