Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1479 | NC |
NPI | 1043226640 |
---|---|
Provider Name | Steven Craig Mcareavy |
First Address | Charlotte, NC 28281-0001 |
Second Address | Charlotte, NC 28281-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08614 | BLUE CROSS/BLUE SHIELD (01) | NC |