Organization
CHIROPRACTIC HEALTH AND WELLNESS CENTER, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HENRY FONKE D.C. (PRESIDENT)
(910) 487-5010
Entity
Organization
Contact information
Practice address
5414 YADKIN RD, FAYETTEVILLE, NC 28303-3199
(910) 487-5010
(910) 487-3919
Mailing address
5414 YADKIN RD, FAYETTEVILLE, NC 28303-3199
(910) 487-5010
(910) 487-3919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0836U
BCBS
NC
05
—
890836U
—
NC
Enumeration date
04/08/2008
Last updated
05/20/2008
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