Organization Name: | DUTCH FORK CHIROPRACTIC CENTER PA |
NPI Number: | 1174508170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH MARIE MILANO (CHIROPRACTOR OWNER) |
Mailing Address: | 7839 Broad River Rd Irmo |
State: | SC US |
Postal Code: | 290632357 |
Phone Number: | 8037323996 |
Fax Number: | 8034070081 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |