Individual
CASEY TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1 OCEAN BLVD STE 104, KITTY HAWK, NC 27949-3616
(252) 261-3100
(252) 261-3240
Mailing address
1 OCEAN BLVD STE 104, KITTY HAWK, NC 27949-3616
(252) 261-3100
(252) 261-3240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556368
VA
111N00000X
Chiropractor
3669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11469679
CAQH
VA
Enumeration date
03/27/2006
Last updated
12/22/2010
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