Bodycare Chiropractic Inc

Organization Active NPI Chiropractor · Clemmons, NC

NPI 1215005806 · NPPES record last updated Mar 19, 2013

Key facts

NPI
1215005806
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
3467 (NC)
Legal business name
BODYCARE CHIROPRACTIC INC
Practice address
5919 James St
Suite C
Clemmons, NC 27012-9688
Phone
(336) 766-3993
Fax
(336) 766-3991
NPI assigned
Dec 1, 2006
Organization subpart
No

Authorized official

Name
Dr. Maureenrita Work, D.C.
Title
Owner President
Phone
(336) 766-3993

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070209000644 NC Part B Supplier - Clinic/Group Practice 5890797450 Receives reassigned benefits from 1 practitioner
Practice locations: Clemmons, NC

National Provider Directory

Locations

5919 James St
Ste C
Clemmons, NC 27012
Phone (336) 766-3993

2419 Lewisville Clemmons Rd
Ste 5
Clemmons, NC 27012
Phone (336) 766-3993

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 3467 NC Yes

Addresses

Primary practice location

5919 James St
Suite C
Clemmons, NC 27012-9688

Mailing address

5919 James St
Suite C
Clemmons, NC 27012-9688
Phone (336) 766-3993

Other identifiers

IdentifierTypeStateIssuer
5907336MedicaidNC

Other providers in Clemmons, NC

All providers in Clemmons, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.