Provider Demographics
NPI:1235291634
Name:TENWESTENEIND, SUZANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:TENWESTENEIND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:BEGELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8733 HIGHWAY 17 BYP S
Mailing Address - Street 2:# 300
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-7711
Mailing Address - Country:US
Mailing Address - Phone:843-215-2324
Mailing Address - Fax:843-215-0541
Practice Address - Street 1:8733 BYP 17 S
Practice Address - Street 2:#300
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575
Practice Address - Country:US
Practice Address - Phone:843-215-2324
Practice Address - Fax:843-215-0541
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3824111N00000X
NYX007300-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB8084Medicare PIN