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Dr. Michael John Riccoboni, DC
Chiropractor in Clemmons, North Carolina
NPI 1013998848

Michael John Riccoboni is a Chiropractor based in Clemmons, NC. Michael John Riccoboni practices in Clemmons, NC and has the professional credentials of DC. The NPI Number for Michael John Riccoboni is 1013998848 and holds a License No. 3062 (North Carolina).

The current practice location address for Michael John Riccoboni is 6774 River Center Drive, Clemmons, NC and can be reached out via phone at 336-766-5935 and via fax at 336-766-5365.

Location: 6774 River Center Drive, Clemmons, NC, 27012-8999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013998848
Provider Name
Michael John Riccoboni
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6774 River Center Drive, Clemmons, NC, 27012-8999
Phone Number
336-766-5935
Fax Number
336-766-5365
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
648441 01 ACN PROVIDER NUMBER
41-2094316 01 ALL OTHER NETWORKS
085HM 01 NC BLUECROSS/BLUE SHIELD NUM
89085HM 05 NC
institution
Provider Business Practice Location Address Details
Address
6774 River Center Drive
City
Clemmons
State
North Carolina
Zip
27012-8999
Phone Number
336-766-5935
Fax Number
336-766-5365
person
Provider Business Mailing Address Details
Address
6774 River Center Drive
City
Clemmons
State
North Carolina
Zip
27012-8999
Phone Number
336-766-5935
Fax Number
336-766-5365
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3062 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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