Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2085 | NC |
NPI | 1003919192 |
---|---|
Provider Name | Dr. Joey Scott Hartsell |
First Address | Pineville, NC 28134-0623 |
Second Address | Pineville, NC 28134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 10/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
890840A | (05) | NC |
U55340 | (02) | NC |