Pienkos, John A

Pienkos, John A is an individual health care provider with primary practice located at 205 Hwy 17 North Ste A, North Myrtle Beach SC 29582-8943. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Pienkos, John A can be contacted via phone (843) 280-7533.

Contact Information

Primary practice address
205 Hwy 17 North Ste A North Myrtle Beach SC 29582-8943
Fax: (843) 357-1471
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 2453 South Carolina

Profile Details

NPI number 1740203561
LBN Legal business name Pienkos, John A
Credentials CH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740203561 NPPES
South Carolina MEDICAID CH2453

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