Mychiroclub, P.A. in Myrtle Beach - Chiropractor
Mychiroclub, P.A. - NPI 1063465045
Mychiroclub, P.A. is a Chiropractor in Myrtle Beach, South Carolina. Mychiroclub, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mychiroclub, P.A. is 1063465045. The last update date is 2022-07-21.
Mychiroclub, P.A.'s current location address is 4012 Postal Way, Myrtle Beach, South Carolina. You can contact this provider via phone number 8432366291 and fax number 8438729190. The mailing address for Mychiroclub, P.A. is 4012 Postal Way, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mychiroclub, P.A. |
|---|---|
| Address | 4012 Postal Way, Myrtle Beach, South Carolina |
| Phone Number | 8432366291 |
| Fax Number | 8438729190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lange Warren Neal |
| Credentials | D.C. |
| Telephone Number | 8432366291 |
NPI Number Detail
| NPI Number | 1063465045 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4012 Postal Way |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295793537 |
| Phone Number | 8432366291 |
| Fax Number | 8438729190 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2874 |
|
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 |
|---|---|---|---|
| 12137533 | SC | MULTIPLAN | |
| 2164911 | SC | FIRST HEALTH | |
| 2164911 | SC | CCN | |
| GCH435 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mychiroclub, P.A.?
The Mychiroclub, P.A. has been issued the NPI (National Provider Identifier) 1063465045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mychiroclub, P.A.?
The Mychiroclub, P.A. is physically situated at 4012 Postal Way, in the city of Myrtle Beach, state of SC, with the postal code 295793537.
What is Mychiroclub, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Mychiroclub, P.A.'s area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Mychiroclub, P.A. receive its 1063465045 assignment from the Centers for Medicare & Medicaid Services?
The Mychiroclub, P.A. was assigned its 1063465045 on 2006-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mychiroclub, P.A. last refreshed?
The information related to the Mychiroclub, P.A., including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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