NPI 1841656527 DR. CHUCKY SENTELL JORDAN D.C. COWARD SC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Chucky Sentell Jordan - NPI: 1841656527

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. CHUCKY SENTELL JORDAN
NPI Number: 1841656527
Entity Type Code: Individual (1)
Gender: M
Credentials: D.C.
License Number: SC 4099
Business Practice Address: 263 Kelley St Ste 100
Lake City, SC - 295602472
Business Phone Number: 8433948274
Business Fax Number:
Mailing Address: 542 Ben Gause Rd,
COWARD
State: SC
Postal Code: 295305127
Phone Number: 8439400687
Fax Number:
NPI Enumeration Date: 01/11/2016
NPI Last Update Date: 01/11/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: SC 4099
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.


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