Vivatek Disc Rehab Center Llc in Little River - Chiropractor

Vivatek Disc Rehab Center Llc - NPI 1568490571

Vivatek Disc Rehab Center Llc is a Chiropractor in Little River, South Carolina. Vivatek Disc Rehab Center Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Vivatek Disc Rehab Center Llc is 1568490571. The last update date is 2015-04-10.

Vivatek Disc Rehab Center Llc's current location address is 119 Pinnacle Pl, Little River, South Carolina. You can contact this provider via phone number 8432495100. The mailing address for Vivatek Disc Rehab Center Llc is 119 Pinnacle Pl, Little River, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vivatek Disc Rehab Center Llc
Address 119 Pinnacle Pl, Little River, South Carolina
Phone Number 8432495100
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cole Ray Michael
Credentials DC
Telephone Number 8432495100

NPI Number Detail

NPI Number 1568490571
Provider Enumeration Date 2006-06-29
Last Updated Date 2015-04-10

Provider Mailing Address Detail

Address 119 Pinnacle Pl
City Little River
State South Carolina (SC)
Post Code 295667218
Phone Number 8432495100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1151
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CH1151 SC --
T326948512 SC MEDICARE PTAN

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FAQs about Vivatek Disc Rehab Center Llc

What is the unique identifier code issued to Vivatek Disc Rehab Center Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Vivatek Disc Rehab Center Llc has been assigned the NPI (National Provider Identifier) 1568490571. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Vivatek Disc Rehab Center Llc's facilities are geographically located?

The facilities of Vivatek Disc Rehab Center Llc are physically situated at the following location: 119 Pinnacle Pl, Little River, SC, 295667218.

What is the Vivatek Disc Rehab Center Llc's specialty and taxonomy code?

The Vivatek Disc Rehab Center Llc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568490571 to Vivatek Disc Rehab Center Llc?

The Centers for Medicare & Medicaid Services originally issued the 1568490571 to Vivatek Disc Rehab Center Llc on 2006-06-29.

When was the information pertaining to Vivatek Disc Rehab Center Llc most recently updated or revised?

The details related to Vivatek Disc Rehab Center Llc, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-10.

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