Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2933 | NC |
NPI | 1003979519 |
---|---|
Provider Name | Andrew Senzon |
First Address | Asheville, NC 28801-2570 |
Second Address | Asheville, NC 28801-2570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
085EW | BC-BS (01) | NC |
89085EW | (05) | NC |