Organization
BLUE RIDGE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SZOSTCZUK DC (OWNER)
(828) 274-1122
Entity
Organization
Contact information
Practice address
1378 HENDERSONVILLE RD, SUITE C, ASHEVILLE, NC 28803-1957
(828) 274-1122
(828) 274-3366
Mailing address
1378 HENDERSONVILLE RD, SUITE C, ASHEVILLE, NC 28803-1957
(828) 274-1122
(828) 274-3366
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085E0
NCBCBS
NC
05
—
89085E0
—
NC
Enumeration date
11/15/2006
Last updated
09/20/2010
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