Provider Demographics
NPI:1972168599
Name:CHARLOTTE FAMILY CHIROPRACTIC CLINIC, P.C.
Entity type:Organization
Organization Name:CHARLOTTE FAMILY CHIROPRACTIC CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:PLESA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:980-939-2812
Mailing Address - Street 1:10210 BERKELEY PLACE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1356
Mailing Address - Country:US
Mailing Address - Phone:980-939-2812
Mailing Address - Fax:
Practice Address - Street 1:10210 BERKELEY PLACE DR STE 220
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1356
Practice Address - Country:US
Practice Address - Phone:980-939-2812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty