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GREATER LIFE CHIROPRACTIC NPI 1831595347


NPI Information

NPI: 1831595347
Provider Name: GREATER LIFE CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
624 TYVOLA RD
SUITE 100
CHARLOTTE, NC
ZIP 28217
Phone: (704) 770-8436
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GREATER LIFE CHIROPRACTIC is a chiropractor in Charlotte, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GREATER LIFE CHIROPRACTIC NPI is 1831595347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

624 TYVOLA RD
SUITE 100
CHARLOTTE, NC
ZIP 28217-578
Phone: (704) 770-8436

The provider's authorized official is Grant Lisetor .
The authorized official title is Chiropractor and has the following contact phone number (704) 770-8436.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 11/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4490NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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