Provider Demographics
NPI:1689745945
Name:BIEGAJ, ANTOINETTE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:MARIE
Last Name:BIEGAJ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 LUCAS ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4381
Mailing Address - Country:US
Mailing Address - Phone:843-856-9466
Mailing Address - Fax:843-856-9747
Practice Address - Street 1:217 LUCAS ST
Practice Address - Street 2:SUITE J
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4381
Practice Address - Country:US
Practice Address - Phone:843-856-9466
Practice Address - Fax:843-856-9747
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH388Medicaid