NORTH MYRTLE BEACH CHIROPRACTIC PC (NPI# 1962588798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962588798 |
| Entity Type | Organization |
| Organization Name | NORTH MYRTLE BEACH CHIROPRACTIC PC |
| Practice Address |
513 Highway 17 N North Myrtle Beach SC 29582-2903 |
| Practice Telephone | 8432807000 |
| Practice Fax Number | 8432807001 |
| Mailing Telephone | 8432807000 |
| Mailing Fax Number | 8432807001 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | KEVIN M. WALTER (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 8432807000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1652 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH1652 | 05 | |
| NC | 89085MR | 05 |
| Street Address |
513 HIGHWAY 17 N |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487811519 | Brandon J Heath | Chiropractor | 513 Highway 17 N, North Myrtle Beach, SC 29582-2903 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| Find all providers in zip 29582 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322999 | Steven Chase Connel | Chiropractor | 211 Highway 17 N, Suite 201, North Myrtle Beach, SC 29582-8107 | 2016-08-28 |
| 1790167211 | Christine Mary Graham | Chiropractor | 2200 Premier Resort Blvd Unit A, North Myrtle Beach, SC 29582-9203 | 2015-06-20 |
| 1356607220 | Charles Lloyd Lennon IIi | Chiropractor | 800 25th Ave S, Suite A, North Myrtle Beach, SC 29582-4320 | 2012-04-05 |
| 1356633036 | Michael Paul Rivers | Chiropractor | 702-5 6th Avenue South, North Myrtle Beach, SC 29582 | 2011-05-12 |
| 1174758064 | Jaime Lynn Shaver | Chiropractor | 205 Highway 17 N Ste A, North Myrtle Beach, SC 29582-8943 | 2009-05-20 |
| 1922271527 | Brian J. Lattimer | Chiropractor | 702 6th Ave S Ste 5, North Myrtle Beach, SC 29582-3568 | 2008-04-04 |
| 1700906740 | Main Street Chiropractic, Inc. | Chiropractor | 301 Main St # B, North Myrtle Beach, SC 29582-3022 | 2007-03-31 |
| 1174669725 | Scott J. Scafidi Dc Pa | Chiropractor | 1451 Highway 17 S, Suite B, North Myrtle Beach, SC 29582-3803 | 2007-01-30 |
| 1083761886 | Jason Herrington Bell | Chiropractor | 702-5 6th Ave. South, North Myrtle Beach, SC 29582 | 2007-01-04 |
| 1942213244 | Simon Chiropractic | Chiropractor | 2421 Highway 17 S, North Myrtle Beach, SC 29582-4343 | 2006-08-15 |
| Find all providers in NORTH MYRTLE BEACH | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
Please comment or provide details below to improve the information on NORTH MYRTLE BEACH CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.