Peggie Billodeaux
Individual provider Active NPI Contractor · Black Mountain, NC
NPI 1073972428 · NPPES record last updated Feb 14, 2016
Key facts
- NPI
- 1073972428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 1308 (NC)
- Practice address
- 103 Ridge St
Black Mountain, NC 28711-3338 - Phone
- (828) 450-2296
- NPI assigned
- Feb 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | NC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 1308 | NC | Yes |
Addresses
Primary practice location
103 Ridge St
Black Mountain, NC 28711-3338
Mailing address
103 Ridge St
Black Mountain, NC 28711-3338
Phone (828) 450-2296
Other providers in Black Mountain, NC
- Ellen Dimmock Begley
- Mary Elizabeth Begley
- Taylor Bell
- Caleb Bemis
- Daniel A Bennett
- Black Mountain Acadmey
- Black Mountain Counseling Center
- Black Mountain Family Chiropractic and Wellness Center
- Black Mountain Family Eyecare OD PLLC
- Black Mountain Massage and Wellness Center LLC
All providers in Black Mountain, NC · Contractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.