Provider Demographics
NPI:1194262956
Name:PINNACLE FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:PINNACLE FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:OCTAVE
Authorized Official - Last Name:BUCCIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-408-2204
Mailing Address - Street 1:5900 OLEANDER DR STE B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4718
Mailing Address - Country:US
Mailing Address - Phone:910-408-2204
Mailing Address - Fax:
Practice Address - Street 1:5900 OLEANDER DR STE B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4718
Practice Address - Country:US
Practice Address - Phone:910-408-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty