Provider Demographics
NPI:1326100801
Name:BARENBORG CHIROPRACTIC
Entity Type:Organization
Organization Name:BARENBORG CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:BARENBORG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-875-3315
Mailing Address - Street 1:209 W 6TH NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6616
Mailing Address - Country:US
Mailing Address - Phone:843-875-3315
Mailing Address - Fax:843-875-7266
Practice Address - Street 1:209 W 6TH NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6616
Practice Address - Country:US
Practice Address - Phone:843-875-3315
Practice Address - Fax:843-875-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC2030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty