Individual
DR. WILLIAM MITCHELL BLITSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, FASA, CCSP
Contact information
Practice address
2305 E WT HARRIS BLVD, STE 102, CHARLOTTE, NC 28213
(704) 921-0505
(704) 921-0508
Mailing address
2305 E WT HARRIS BLVD, STE 102, CHARLOTTE, NC 28213
(704) 921-0505
(704) 921-0508
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
NC2475
NC
111NS0005X
Sports Physician Chiropractor
SC2487
SC
171100000X
Acupuncturist
3852
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0831X
—
NC
Enumeration date
12/27/2005
Last updated
01/09/2013
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