Provider Demographics
NPI:1285001222
Name:WHIPLASH PAIN CENTER
Entity Type:Organization
Organization Name:WHIPLASH PAIN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-MARC
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHONEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-209-6409
Mailing Address - Street 1:866 ROBERT E LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9183
Mailing Address - Country:US
Mailing Address - Phone:843-209-6409
Mailing Address - Fax:
Practice Address - Street 1:714 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7141
Practice Address - Country:US
Practice Address - Phone:843-573-9333
Practice Address - Fax:843-701-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty