Provider Demographics
NPI:1780706705
Name:JC CHIROPRACTIC LLC
Entity type:Organization
Organization Name:JC CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:NEEL
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:864-642-8126
Mailing Address - Street 1:200 CITY SQ
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-1433
Mailing Address - Country:US
Mailing Address - Phone:864-642-8126
Mailing Address - Fax:864-847-4877
Practice Address - Street 1:17 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:SC
Practice Address - Zip Code:29697-1225
Practice Address - Country:US
Practice Address - Phone:864-316-0703
Practice Address - Fax:864-847-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty