Provider Demographics
NPI:1053599316
Name:LANK, BRIAN SALVATORE (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SALVATORE
Last Name:LANK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 VILLAGE RD, SW
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470
Mailing Address - Country:US
Mailing Address - Phone:910-755-5400
Mailing Address - Fax:910-755-5402
Practice Address - Street 1:728 VILLAGE RD, SW
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470
Practice Address - Country:US
Practice Address - Phone:910-755-5400
Practice Address - Fax:910-755-5402
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor