Main Street Chiropractic, Inc. in North Myrtle Beach - Chiropractor
Main Street Chiropractic, Inc. - NPI 1700906740
Main Street Chiropractic, Inc. is a Chiropractor in North Myrtle Beach, South Carolina. Main Street Chiropractic, Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Main Street Chiropractic, Inc. is 1700906740. The last update date is 2008-11-18.
Main Street Chiropractic, Inc.'s current location address is 301 Main St # B, North Myrtle Beach, South Carolina. You can contact this provider via phone number 8432495432 and fax number 8432800837. The mailing address for Main Street Chiropractic, Inc. is 301 Main St # B, North Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Chiropractic, Inc. |
|---|---|
| Address | 301 Main St # B, North Myrtle Beach, South Carolina |
| Phone Number | 8432495432 |
| Fax Number | 8432800837 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Devolld Church Duncan |
| Credentials | D.C. |
| Telephone Number | 8432496543 |
NPI Number Detail
| NPI Number | 1700906740 |
|---|---|
| Provider Enumeration Date | 2007-03-31 |
| Last Updated Date | 2008-11-18 |
Provider Mailing Address Detail
| Address | 301 Main St # B |
|---|---|
| City | North Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295823022 |
| Phone Number | 8432495432 |
| Fax Number | 8432800837 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1308 |
|
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 |
|---|---|---|---|
| CH1308 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Main Street Chiropractic, Inc. by the Centers for Medicare & Medicaid Services?
The Main Street Chiropractic, Inc. has been issued the NPI (National Provider Identifier) 1700906740 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Main Street Chiropractic, Inc.?
The Main Street Chiropractic, Inc. is physically situated at 301 Main St # B, in the city of North Myrtle Beach, state of SC, with the postal code 295823022.
What is the Main Street Chiropractic, Inc.'s area of specialization and corresponding taxonomy classification?
The Main Street Chiropractic, Inc.'s specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1700906740 to Main Street Chiropractic, Inc.?
The Main Street Chiropractic, Inc. received its 1700906740 assignment from the Centers for Medicare & Medicaid Services on 2007-03-31.
As of what date was the information pertaining to Main Street Chiropractic, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Main Street Chiropractic, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-11-18.
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