Provider Demographics
NPI:1861713737
Name:PIPAS CHIROPRACTIC CLINIC, P.A.
Entity type:Organization
Organization Name:PIPAS CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-892-5888
Mailing Address - Street 1:19837 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8830
Mailing Address - Country:US
Mailing Address - Phone:704-892-5888
Mailing Address - Fax:
Practice Address - Street 1:19837 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8830
Practice Address - Country:US
Practice Address - Phone:704-892-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty