Organization
SHALLOTTE CHIROPRACTIC BALANCE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES REGINA FREEMAN DC (OWNER/PRESIDENT)
(910) 264-1705
Entity
Organization
Contact information
Practice address
4465 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 505-8680
(910) 612-6002
Mailing address
4465 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 505-8680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085H6
BLUE CROSS/BLUE SHIELD
NC
01
—
1083616825
INDIVIDUAL NPI
NC
05
—
89085H6
—
NC
Enumeration date
01/20/2023
Last updated
12/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us