Stoldaddy Inc. in Shallotte - Sports Physician

Stoldaddy Inc. - NPI 1821048497

Stoldaddy Inc. is a Sports Physician in Shallotte, North Carolina. Stoldaddy Inc. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Stoldaddy Inc. is 1821048497. The last update date is 2020-08-22.

Stoldaddy Inc.'s current location address is 4647 Main St, Shallotte, North Carolina. You can contact this provider via phone number 9107542225 and fax number 9107542227. The mailing address for Stoldaddy Inc. is 4647 Main St, Shallotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stoldaddy Inc.
Address 4647 Main St, Shallotte, North Carolina
Phone Number 9107542225
Fax Number 9107542227
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Lundy James Glenn
Credentials D.C.
Telephone Number 9107542225

NPI Number Detail

NPI Number 1821048497
Provider Enumeration Date 2006-05-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4647 Main St
City Shallotte
State North Carolina (NC)
Post Code 284701771
Phone Number 9107542225
Fax Number 9107542227

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 2913
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Stoldaddy Inc.

What is the Stoldaddy Inc.'s 1821048497?

The Stoldaddy Inc.'s NPI (National Provider Identifier) Number is 1821048497. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stoldaddy Inc. is physically located?

The Stoldaddy Inc. is physically situated at the following address: 4647 Main St, Shallotte, NC, 284701771.

What is Stoldaddy Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stoldaddy Inc.'s specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.

On what date was the 1821048497 assigned to Stoldaddy Inc.?

The Stoldaddy Inc. was issued its 1821048497 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Stoldaddy Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stoldaddy Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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