Provider Demographics
NPI:1417359639
Name:COREHEALTH INC
Entity Type:Organization
Organization Name:COREHEALTH INC
Other - Org Name:REALIEF NEUROPATHY CENTER OF COLUMBIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-239-8332
Mailing Address - Street 1:800 COLUMBIANA DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7213
Mailing Address - Country:US
Mailing Address - Phone:803-239-8332
Mailing Address - Fax:
Practice Address - Street 1:800 COLUMBIANA DR
Practice Address - Street 2:SUITE 216
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7213
Practice Address - Country:US
Practice Address - Phone:803-239-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty