Provider Demographics
NPI:1467710491
Name:BENTLEY, CHASE EVERETT (DC)
Entity Type:Individual
Prefix:DR
First Name:CHASE
Middle Name:EVERETT
Last Name:BENTLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 PUMPKINTOWN HWY
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-2023
Mailing Address - Country:US
Mailing Address - Phone:864-507-2207
Mailing Address - Fax:864-507-2209
Practice Address - Street 1:114 PUMPKINTOWN HWY
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-2023
Practice Address - Country:US
Practice Address - Phone:864-507-2207
Practice Address - Fax:864-507-2209
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor