CAROLINA FOREST CHIROPRACTIC LLC NPI 1932207305

NPI Information

NPI: 1932207305
Provider Name: CAROLINA FOREST CHIROPRACTIC, LLC

Former Legal Business Name: DAVIS SQUARE CHIROPRACTIC, INC.

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
568 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 236-2200
Get Directions

CAROLINA FOREST CHIROPRACTIC, LLC is a chiropractor in Myrtle Beach, SC. The provider is 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. CAROLINA FOREST CHIROPRACTIC, LLC NPI is 1932207305. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Davis Square Chiropractic, Inc..

The provider's business location address is:

568 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
ZIP 29579-339
Phone: (843) 236-2200

The provider's authorized official is Ronald J. Pellicani .
The authorized official title is Owner and has the following contact phone number (843) 236-2200.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3616	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B207689-01	OTHER	MASSACHUSETTS	CIGNA
2	Y39207	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD MA
3	0222552-01	OTHER	MASSACHUSETTS	BMC HEALTHNET
4	42309	OTHER	MASSACHUSETTS	FALLON COMMUNITY HEALTH P
5	P-12032859	OTHER	MASSACHUSETTS	MULTIPLAN
6	Y36167	OTHER	MASSACHUSETTS	BC/BS OF MA
7	04-3403673-00	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
8	1003195	OTHER	MASSACHUSETTS	AMERICAN SPECIALTY HEALTH
9	1496056	OTHER	MASSACHUSETTS	FIRST HEALTH
10	351103	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH
11	646792	OTHER	MASSACHUSETTS	ACN GROUP
12	001610	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
13	44-00274	OTHER	MASSACHUSETTS	UNITED HEALTH CARE
14	CH3616	MEDICAID	SOUTH CAROLINA
15	04-3403673	OTHER	MASSACHUSETTS	PRIVATE HEALTHCARE SYSTEM
16	2114793	OTHER	MASSACHUSETTS	AETNA
17	995969	OTHER	MASSACHUSETTS	NETWORK HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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