Organization
HEALTHSTARR CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ROTH (PRESIDENT)
(704) 655-0944
Entity
Organization
Contact information
Practice address
20700 N MAIN ST, STE 100, CORNELIUS, NC 28031-8431
(704) 655-0944
(704) 655-2585
Mailing address
20700 N MAIN ST, STE 100, CORNELIUS, NC 28031-8431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085JP
BCBS
NC
01
—
1225056740
INDIVIDUAL NPI
NC
01
—
1790978740
GROUP NPI
NC
01
—
62871
ACN
NC
05
—
89085JP
—
NC
Enumeration date
08/23/2007
Last updated
12/12/2007
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