Organization
GREENSBORO CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J FONKE DC (PRESIDENT)
(336) 545-3132
Entity
Organization
Contact information
Practice address
3132 BATTLEGROUND AVE, STE. A, GREENSBORO, NC 27408-1914
(336) 545-3132
(336) 545-0571
Mailing address
3132 BATTLEGROUND AVE STE A, GREENSBORO, NC 27408-1915
(336) 545-3132
(336) 545-0571
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0826W
BCBS
NC
05
—
890826W
—
NC
Enumeration date
02/01/2007
Last updated
09/22/2008
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