Provider Demographics
NPI:1689621971
Name:HELLMANN, ERIC C (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:C
Last Name:HELLMANN
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 1:202 SPRINGCREST DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-7306
Mailing Address - Country:US
Mailing Address - Phone:803-547-5656
Mailing Address - Fax:803-547-5658
Practice Address - Street 1:202 SPRINGCREST DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-7306
Practice Address - Country:US
Practice Address - Phone:803-547-5656
Practice Address - Fax:803-547-5658
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246Z00000X
NC4427111N00000X
SC4014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0000000237839OtherBLUE CROSS/BLUE SHIELD
KY0000000237839OtherBLUE CROSS/BLUE SHIELD
KY7400Medicare ID - Type UnspecifiedMEDICARE ID