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LIFE LINE CHIROPRACTIC
LIFE LINE CHIROPRACTIC
1151 ROBERT GRISSOM PKWY
MYRTLE BEACH, SC29577
 Phone: 843-839-5588
 Fax: 843-839-5591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LIFE LINE CHIROPRACTIC · (Female)

NPI Number 1649331380
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 05/11/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # SC2755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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