Organization
SPINE ALIGN CHIROPRACTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA D PRUSINSKI D.C. (CHIROPRACTIC PHYSICIAN)
(252) 355-1770
Entity
Organization
Contact information
Practice address
3750 EVANS ST, STE. C, GREENVILLE, NC 27834-5412
(252) 355-1770
(252) 353-1415
Mailing address
3750 EVANS ST, STE. C, GREENVILLE, NC 27834-5412
(252) 355-1770
(252) 353-1415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210U
BLUECROSS/BLUE SHIELD
NC
05
—
890210U
—
NC
Enumeration date
10/18/2006
Last updated
10/10/2011
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