| Connell Chiropractic Clinic, LLC | |
|
20 Townlee Ln Ste C Lugoff SC 29078-8989 | |
| (803) 408-9971 | |
| Not Available |
| Full Name | Connell Chiropractic Clinic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Townlee Ln Ste C, Lugoff, South Carolina |
| Authorized Official Name and Position | Sterling J Connell (MEMBER) |
| Authorized Official Contact | 8034089971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connell Chiropractic Clinic, LLC 20 Townlee Ln Ste C Lugoff SC 29078-8989 Ph: (803) 408-9971 | Connell Chiropractic Clinic, LLC 20 Townlee Ln Ste C Lugoff SC 29078-8989 Ph: (803) 408-9971 |
| NPI Number | 1821487521 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Medicare PECOS PAC ID | 2769701044 |
|---|---|
| Medicare Enrollment ID | O20150507002776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821487521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2091 (South Carolina) | Primary |
| Provider Name | Sterling J Connell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033188305 PECOS PAC ID: 2668546375 Enrollment ID: I20080729000660 |
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