Organization
WAKE FOREST CHIROPRACTIC, PA
Active
Other names
WAKE FOREST CHIROPRACTIC, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN P PHELAN D.O. (OWNER)
(919) 562-0302
Entity
Organization
Contact information
Practice address
851 WAKE FOREST BUSINESS PARK, STE E, WAKE FOREST, NC 27587-7366
(919) 562-0302
(919) 569-9560
Mailing address
851 WAKE FOREST BUSINESS PARK, STE E, WAKE FOREST, NC 27587-7366
(919) 562-0302
(919) 569-9560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08871
CHIROPRACTIC NETWORK
NC
01
—
2107045
CIGNA HEALTHCARE
NC
01
—
613467
AMERICAN CHIROPRACTIC NET
NC
05
—
8908871
—
NC
Enumeration date
11/09/2006
Last updated
10/24/2019
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