Organization
LIFELINE CHIROPRACTIC, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE CHANDLER D.O. (OWNER)
(704) 655-8930
Entity
Organization
Contact information
Practice address
19824 W CATAWBA AVE STE E, CORNELIUS, NC 28031-4046
(704) 655-8930
(704) 655-8932
Mailing address
PO BOX 2487, CORNELIUS, NC 28031-2487
(704) 655-8930
(704) 655-8932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085N9
—
NC
Enumeration date
11/30/2006
Last updated
01/18/2010
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