Provider Demographics
NPI:1417359001
Name:BERG CHIROPRACTIC CENTERS
Entity Type:Organization
Organization Name:BERG CHIROPRACTIC CENTERS
Other - Org Name:ALIGNLIFE OF CHERRYDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-354-5467
Mailing Address - Street 1:2541 N PLEASANTBURG DR
Mailing Address - Street 2:SUITE R
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-2728
Mailing Address - Country:US
Mailing Address - Phone:864-354-5467
Mailing Address - Fax:864-501-3600
Practice Address - Street 1:2541 N PLEASANTBURG DR
Practice Address - Street 2:SUITE R
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-2728
Practice Address - Country:US
Practice Address - Phone:864-354-5467
Practice Address - Fax:864-501-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty