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:
Map and Directions
Authorized official contact:
Name: Pellicani, Ronald J. Doctor of Chiropractic (DC)
Phone: (843) 236-2200

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
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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