Provider Demographics
NPI:1154344638
Name:LARABEE, EVERETT W (DC)
Entity type:Individual
Prefix:DR
First Name:EVERETT
Middle Name:W
Last Name:LARABEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ACADEMY ST S
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-3241
Mailing Address - Country:US
Mailing Address - Phone:252-209-8890
Mailing Address - Fax:252-332-2577
Practice Address - Street 1:205 ACADEMY ST S
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3241
Practice Address - Country:US
Practice Address - Phone:252-209-8890
Practice Address - Fax:252-332-2577
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001312588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890841UMedicaid
NC0841UOtherBCBS
NC0841UOtherBCBS
NC890841UMedicaid