Elite Performance And Pain Center Llc in Charleston - Chiropractor
Elite Performance And Pain Center Llc - NPI 1225183783
Elite Performance And Pain Center Llc is a Chiropractor in Charleston, South Carolina. Elite Performance And Pain Center Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Elite Performance And Pain Center Llc is 1225183783. The last update date is 2021-03-30.
Elite Performance And Pain Center Llc's current location address is 761 St. Andrews Blvd, Charleston, South Carolina. You can contact this provider via phone number 8438736004 and fax number 8437663694. The mailing address for Elite Performance And Pain Center Llc is 761 St. Andrews Blvd, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elite Performance And Pain Center Llc |
|---|---|
| Address | 761 St. Andrews Blvd, Charleston, South Carolina |
| Phone Number | 8438736004 |
| Fax Number | 8437663694 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jimerson Jason Jeremiah |
| Credentials | D.C. |
| Telephone Number | 8438736004 |
NPI Number Detail
| NPI Number | 1225183783 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 761 St. Andrews Blvd |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 29407 |
| Phone Number | 8438736004 |
| Fax Number | 8437663694 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3131 |
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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 inte |
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What is the unique identifier code issued to Elite Performance And Pain Center Llc by the Centers for Medicare & Medicaid Services?
The Elite Performance And Pain Center Llc has been assigned the NPI (National Provider Identifier) 1225183783. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Elite Performance And Pain Center Llc?
The Elite Performance And Pain Center Llc is physically situated at 761 St. Andrews Blvd, in the city of Charleston, state of SC, with the postal code 29407.
What is Elite Performance And Pain Center Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elite Performance And Pain Center Llc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Elite Performance And Pain Center Llc receive its 1225183783 assignment from the Centers for Medicare & Medicaid Services?
The Elite Performance And Pain Center Llc was assigned its 1225183783 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Elite Performance And Pain Center Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elite Performance And Pain Center Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-30.