Provider Demographics
NPI:1609322999
Name:CONNEL, STEVEN CHASE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHASE
Last Name:CONNEL
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 1:165 LIGHTHOUSE COVE LOOP
Mailing Address - Street 2:
Mailing Address - City:CAROLINA SHORES
Mailing Address - State:NC
Mailing Address - Zip Code:28467
Mailing Address - Country:US
Mailing Address - Phone:910-880-1352
Mailing Address - Fax:
Practice Address - Street 1:211 HIGHWAY 17 N
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-8107
Practice Address - Country:US
Practice Address - Phone:843-273-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDC4159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor