Provider Demographics
NPI:1558433607
Name:NORTHPOINTE CHIROPRACTIC CENTRE
Entity Type:Organization
Organization Name:NORTHPOINTE CHIROPRACTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-268-3400
Mailing Address - Street 1:1318 HAYWOOD RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4992
Mailing Address - Country:US
Mailing Address - Phone:864-268-3400
Mailing Address - Fax:864-268-4526
Practice Address - Street 1:1318 HAYWOOD RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4992
Practice Address - Country:US
Practice Address - Phone:864-268-3400
Practice Address - Fax:864-268-4526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1670Medicaid
SCU43443Medicare UPIN