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Contact Information

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

NPI Number 1649331380
LBN Legal business name LIFE LINE CHIROPRACTIC
Authorized official TAMMY COSTELLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 05/11/2009 - About 17 years ago
Identifiers
SC License # SC2755
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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