Organization
PERMENTER CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JASON PERMENTER DC (CEO)
(704) 569-3130
Entity
Organization
Contact information
Practice address
9123 MONROE RD STE 100, CHARLOTTE, NC 28270-2456
(704) 569-3130
(704) 569-9797
Mailing address
9123 MONROE RD STE 100, CHARLOTTE, NC 28270-2456
(704) 569-3130
(704) 569-9797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2671
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0838F
BCBS
NC
01
—
2117085094101
BEECH STREET
NC
01
—
3467419
AETNA - HMO
NC
01
—
606834-980061
ACN
NC
01
—
7572054
AETNA - PPO
NC
05
—
790838F
—
NC
01
—
963043003
CIGNA
NC
Enumeration date
09/14/2006
Last updated
01/20/2022
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