Individual
DR. STEVEN B ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF CHIROPRACT
Contact information
Practice address
1846 EAST FRANKLIN BLVD, GASTONIA, NC 28054
(704) 864-0356
(704) 864-0858
Mailing address
1846 EAST FRANKLIN BLVD, GASTONIA, NC 28054
(704) 864-0356
(704) 864-0858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1593
SC
111N00000X
Chiropractor
Primary
1883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0876B
BCBS
—
01
—
606755
ACN
—
05
—
890876B
—
NC
Enumeration date
11/20/2006
Last updated
07/08/2007
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