Davis Square Chiropractic, Inc.
LBN: Carolina Forest Chiropractic, Llc
Davis Square Chiropractic, Inc. is an health care organization with primary practice located at 568 George Bishop Pkwy , Myrtle Beach SC 29579-7339. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Carolina Forest Chiropractic, Llc can be contacted via phone (843) 236-2200, or through Pellicani, Ronald J. via phone (843) 236-2200.
Contact Information
Primary practice address
568 George Bishop Pkwy
Myrtle Beach SC 29579-7339
Phone: (843) 236-2200
Fax:
Website:
Authorized official contact:
Name: Pellicani, Ronald J. Doctor of Chiropractic (DC)
Phone: (843) 236-2200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3616 | South Carolina |
Profile Details
| NPI number | 1932207305 |
|---|---|
| LBN Legal business name | Carolina Forest Chiropractic, Llc |
| DBA Doing business as | Davis Square Chiropractic, Inc. |
| Authorized official | Pellicani, Ronald J. Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 26th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932207305 | NPPES |
| Massachusetts | Other | Y36167 | BC/BS OF MA |
| Massachusetts | Other | 351103 | BC/BS OF MA |
| Massachusetts | Other | P-12032859 | BC/BS OF MA |
| Massachusetts | Other | Y39207 | BC/BS OF MA |
| Massachusetts | Other | 0222552-01 | BC/BS OF MA |
| Massachusetts | Other | B207689-01 | BC/BS OF MA |
| Massachusetts | Other | 001610 | BC/BS OF MA |
| Massachusetts | Other | 42309 | BC/BS OF MA |
| Massachusetts | Other | 44-00274 | BC/BS OF MA |
| Massachusetts | Other | 995969 | BC/BS OF MA |
| Massachusetts | Other | 1003195 | BC/BS OF MA |
| Massachusetts | Other | 04-3403673-00 | BC/BS OF MA |
| Massachusetts | Other | 646792 | BC/BS OF MA |
| Massachusetts | MEDICAID | CH3616 | BC/BS OF MA |
| Massachusetts | Other | 04-3403673 | BC/BS OF MA |
| Massachusetts | Other | 2114793 | BC/BS OF MA |
| Massachusetts | Other | 1496056 | BC/BS OF MA |
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