Provider Demographics
NPI:1689926628
Name:BEHELER, LYNSEY SHAE (DC)
Entity Type:Individual
Prefix:MRS
First Name:LYNSEY
Middle Name:SHAE
Last Name:BEHELER
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 1:673 SILVER BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7889
Mailing Address - Country:US
Mailing Address - Phone:803-649-4747
Mailing Address - Fax:803-649-9719
Practice Address - Street 1:673 SILVER BLUFF RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7889
Practice Address - Country:US
Practice Address - Phone:803-649-4747
Practice Address - Fax:803-649-9719
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2014-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
B923Medicare UPIN