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Organization

KEAN DC PC

Active
Other names
Siegel Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT M SIEGEL D.C. (PRESIDENT)
(252) 259-1443
Entity
Organization

Contact information

Practice address
108 AVON AVE, WASHINGTON, NC 27889-3841
(252) 946-5101
Mailing address
108 AVON AVE, WASHINGTON, NC 27889-3841
(252) 946-5101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2937
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5922361
NC
01
DQ5842
MEDICARE RAIL ROAD
Enumeration date
12/29/2006
Last updated
06/10/2013
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