Provider Demographics
NPI:1942370465
Name:DISCOVER SPECIFIC CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DISCOVER SPECIFIC CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HORUP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-342-3606
Mailing Address - Street 1:4101 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-4609
Mailing Address - Country:US
Mailing Address - Phone:843-689-2273
Mailing Address - Fax:843-342-3608
Practice Address - Street 1:4101 MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-689-2273
Practice Address - Fax:843-342-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U730150282Medicare ID - Type Unspecified
U73015Medicare UPIN