Provider Demographics
NPI:1366500068
Name:MITCHELL E. FALK DC
Entity Type:Organization
Organization Name:MITCHELL E. FALK DC
Other - Org Name:SPINAL CARE CTR-MULLINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INS BILLINGCLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:843-464-8700
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:MULLINS
Mailing Address - State:SC
Mailing Address - Zip Code:29574-0330
Mailing Address - Country:US
Mailing Address - Phone:843-464-8700
Mailing Address - Fax:
Practice Address - Street 1:270 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MULLINS
Practice Address - State:SC
Practice Address - Zip Code:29574-3120
Practice Address - Country:US
Practice Address - Phone:843-464-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty