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Organization

ADJUST EXPERIENCE CHIROPRACTIC, P. A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE COSIMO DANIELE D.C. (OWNER)
(910) 480-1111
Entity
Organization

Contact information

Practice address
1905 SKIBO RD, SUITE 103, FAYETTEVILLE, NC 28314-1518
(910) 480-1111
(910) 480-1113
Mailing address
439 WESTWOOD SHOPPING CTR, SUITE 5, FAYETTEVILLE, NC 28314-1532
(910) 480-1111
(910) 480-1113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3330
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085UX
BLUE CROSS/BLUE SHIELD
NC
05
89085UX
NC
01
U91086
UPIN
NC
Enumeration date
02/28/2008
Last updated
03/06/2018
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