Organization
PUSTAVER CHIROPRACTIC CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SHIPMAN (TREATING CA)
(704) 573-2400
Entity
Organization
Contact information
Practice address
4213 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105-3634
(704) 573-2400
(704) 573-1070
Mailing address
4213 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105-3634
(704) 573-2400
(704) 573-1070
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900047
—
NC
Enumeration date
12/16/2010
Last updated
02/22/2011
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