Andrew Chiropractic & Acupuncture Clinic, PA

Organization Active NPI Chiropractor · Albemarle, NC

NPI 1699705384 · NPPES record last updated Oct 10, 2007

Key facts

NPI
1699705384
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
1787 (NC)
Legal business name
ANDREW CHIROPRACTIC & ACUPUNCTURE CLINIC, PA
Practice address
330 N 1St St
Albemarle, NC 28001-3905
Phone
(704) 983-3552
Fax
(704) 983-4660
NPI assigned
Jul 5, 2006
Organization subpart
No

Authorized official

Name
Dr. Samuel Keith Andrew, DC, MAC
Title
President
Phone
(704) 983-3552

Practitioners 2

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
O20060804000154 NC Part B Supplier - Clinic/Group Practice 2961405253 Receives reassigned benefits from 2 practitioners
Practice locations: Albemarle, NC

National Provider Directory

Locations

330 N 1st St
Albemarle, NC 28001
Phone (704) 983-3552

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 1787 NC Yes

Addresses

Primary practice location

330 N 1St St
Albemarle, NC 28001-3905

Mailing address

330 N 1St St
Albemarle, NC 28001-3905
Phone (704) 983-3552

Other providers in Albemarle, NC

All providers in Albemarle, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.