MYCHIROCLUB P.A. NPI 1063465045

NPI Information

MYCHIROCLUB, P.A. 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. MYCHIROCLUB, P.A. NPI is 1063465045. The provider is registered as an organization entity type.

The provider's business location address is:

4012 POSTAL WAY STE A
MYRTLE BEACH, SC
ZIP 29579-298
Phone: (843) 236-6291
Fax: (843) 872-9190

The provider's authorized official is Neal Warren Lange .
The authorized official title is President and has the following contact phone number (843) 236-6291.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/21/2022.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.