Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2050 | NC |
N | 111NS0005X | Chiropractic Sports Physician | 2050 | NC |
NPI | 1275573347 |
---|---|
Provider Name | Dr. Donna Usher King |
First Address | Apex, NC 27502-3957 |
Second Address | Apex, NC 27502-3957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 07/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08716 | BCBSNC ID NUMBER (01) | NC |
1457539538 | (05) | NC |
U55303 | (02) | NC |