Individual
DR. JARED SCHOLTISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14142 RIVERGATE PKWY, SUITE 300, CHARLOTTE, NC 28273-8906
(704) 587-0078
(704) 587-0071
Mailing address
14142 RIVERGATE PKWY, SUIRE 300, CHARLOTTE, NC 28273-8906
(704) 587-0078
(704) 587-0071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3936
STATE LICENSE NUMBER
NC
Enumeration date
03/09/2009
Last updated
08/21/2012
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