Mychiroclub, P.A.
LBN: Mychiroclub, P.A.
Mychiroclub, P.A. is an health care organization with primary practice located at 4012 Postal Way Ste A , Myrtle Beach SC 29579-3298. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Clinic/Center. Chiropractic Providers / Chiropractor is the primary health care specialty.
Mychiroclub, P.A. can be contacted via phone (843) 236-6291, or through Lange, Neal Warren via phone (843) 236-6291.
Contact Information
Primary practice address
4012 Postal Way Ste A
Myrtle Beach SC 29579-3298
Phone: (843) 236-6291
Fax: (843) 872-9190
Website:
Authorized official contact:
Name: Lange, Neal Warren Doctor of Chiropractic (DC)
Phone: (843) 236-6291
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2874 | South Carolina |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 2874 | South Carolina |
Profile Details
| NPI number | 1063465045 |
|---|---|
| LBN Legal business name | Mychiroclub, P.A. |
| DBA Doing business as | |
| Authorized official | Lange, Neal Warren Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063465045 | NPPES |
| South Carolina | Other | 12137533 | MULTIPLAN |
| South Carolina | Other | 2164911 | MULTIPLAN |
| South Carolina | Other | 2164911 | MULTIPLAN |
| South Carolina | MEDICAID | GCH435 | MULTIPLAN |
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