Provider Demographics
NPI:1982823563
Name:EIKEN ENTERPRISES INC
Entity Type:Organization
Organization Name:EIKEN ENTERPRISES INC
Other - Org Name:THE MAULDIN CLINIC OF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:EIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-329-1515
Mailing Address - Street 1:213 E BUTLER RD STE D2
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2172
Mailing Address - Country:US
Mailing Address - Phone:864-329-1515
Mailing Address - Fax:864-329-1588
Practice Address - Street 1:213 E BUTLER RD STE D2
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2172
Practice Address - Country:US
Practice Address - Phone:864-329-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU794600281Medicare ID - Type UnspecifiedMEDICARE NUMBER