Provider Demographics
NPI:1215101860
Name:FIRST CHOICE CHIROPRACTIC CENTER PC
Entity type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-379-7990
Mailing Address - Street 1:3535 RANDOLPH RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1086
Mailing Address - Country:US
Mailing Address - Phone:704-379-7990
Mailing Address - Fax:704-379-7997
Practice Address - Street 1:3535 RANDOLPH RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1086
Practice Address - Country:US
Practice Address - Phone:704-379-7990
Practice Address - Fax:704-379-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty