Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2411 | NC |
NPI | 1164430351 |
---|---|
Provider Name | Dr. Joseph Michael Silva |
First Address | Hendersonville, NC 28792-6827 |
Second Address | Hendersonville, NC 28792-6827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 25/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0824W | BCBS OF NC (01) | NC |
310202400 | U.S. DOL, FED. W.C. (01) | |
5899578 | GHI (01) | |
790824W | (05) | NC |
U66022 | (02) |