Jennifer Ann Al Ghuraibawi, D.C.
Individual provider Active NPI Chiropractor · Wake Forest, NC
NPI 1861692220 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1861692220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4524 (NC)
- Practice address
- 843 Wake Forest Business Park Ste 102
Wake Forest, NC 27587-6578 - Phone
- (919) 600-1725
- Fax
- (919) 573-9691
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001690 | CT | MD | Clinical Psychologist |
| X0009079 | NY | MD | Chiropractor |
| 4524 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethel Chiropractic and Sports Therapy, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001690 | CT | |
| Chiropractor | 111N00000X | 4524 | NC | Yes |
| Chiropractor | 111N00000X | X0009079 | NY |
Addresses
Primary practice location
843 Wake Forest Business Park Ste 102
Wake Forest, NC 27587-6578
Mailing address
13024 US Highway 70W
Ste 101
Clayton, NC 27520
Phone (919) 600-1725
Other providers in Wake Forest, NC
- Agape
- Agape of NC, Inc. (Asso. for Guidance, Aid, Placement & Empathy of NC.
- Aarthi S Agaram
- Mohamad Ajaj
- Tim C Akabueze
- Deena Al-Aawah
- Ghassan Al-Sabbagh
- Mohammed Abdulhameed Al-Shaebi
- Shelly Alasti
- Alex Nutrition Services, LLC
All providers in Wake Forest, NC · Chiropractor 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 May 24, 2021. 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.