Main Street Chiropractic, Inc.

LBN: Main Street Chiropractic, Inc.
Main Street Chiropractic, Inc. is an health care organization with primary practice located at 301 Main St # B , North Myrtle Beach SC 29582-3022. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Main Street Chiropractic, Inc. can be contacted via phone (843) 249-5432, or through Devolld, Duncan Church via phone (843) 249-6543.

Contact Information

Primary practice address
301 Main St # B North Myrtle Beach SC 29582-3022
Fax: (843) 280-0837
Website:
Authorized official contact:
Name: Devolld, Duncan Church Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1308 South Carolina

Profile Details

NPI number 1700906740
LBN Legal business name Main Street Chiropractic, Inc.
DBA Doing business as
Authorized official Devolld, Duncan Church Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2007
Last updated Nov 18th, 2008 - about 16 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 1700906740 NPPES
South Carolina MEDICAID CH1308

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