Provider Demographics
NPI:1154707453
Name:DR MICHAEL S TRAYFORD PC
Entity type:Organization
Organization Name:DR MICHAEL S TRAYFORD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TRAYFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-708-5274
Mailing Address - Street 1:2 WALDEN RIDGE DR
Mailing Address - Street 2:SUITE 80
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8597
Mailing Address - Country:US
Mailing Address - Phone:828-708-5274
Mailing Address - Fax:866-447-7164
Practice Address - Street 1:2 WALDEN RIDGE DR
Practice Address - Street 2:SUITE 80
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8597
Practice Address - Country:US
Practice Address - Phone:828-708-5274
Practice Address - Fax:866-447-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3403111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2458124AMedicare UPIN