Provider Demographics
NPI:1740500446
Name:ATLANTIC CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ATLANTIC CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SENALIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-705-6400
Mailing Address - Street 1:39 PEARCE RD
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9353
Mailing Address - Country:US
Mailing Address - Phone:843-705-6400
Mailing Address - Fax:
Practice Address - Street 1:39 PEARCE RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9353
Practice Address - Country:US
Practice Address - Phone:843-705-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty