Provider Demographics
NPI:1750670113
Name:CELANESE CHIROPRACTIC HEALTH & PERFORMANCE LLC
Entity Type:Organization
Organization Name:CELANESE CHIROPRACTIC HEALTH & PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GASPAROVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-438-9700
Mailing Address - Street 1:2043 CELANESE RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1324
Mailing Address - Country:US
Mailing Address - Phone:803-323-5500
Mailing Address - Fax:
Practice Address - Street 1:2043 CELANESE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1324
Practice Address - Country:US
Practice Address - Phone:803-323-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty