Provider Demographics
NPI:1659542140
Name:THE CHIROPRACTIC GROUP LLC
Entity Type:Organization
Organization Name:THE CHIROPRACTIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHINCARIOL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-357-3800
Mailing Address - Street 1:1140 S PARROTT AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-5270
Mailing Address - Country:US
Mailing Address - Phone:863-357-3800
Mailing Address - Fax:
Practice Address - Street 1:1140 S PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-5270
Practice Address - Country:US
Practice Address - Phone:863-357-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty