Provider Demographics
NPI:1881347300
Name:VITAL STEPS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VITAL STEPS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPICCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-416-2990
Mailing Address - Street 1:961 N MAIN ST
Mailing Address - Street 2:PMB 212
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2188
Mailing Address - Country:US
Mailing Address - Phone:803-416-2990
Mailing Address - Fax:
Practice Address - Street 1:691 LANCASTER BYP E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-4727
Practice Address - Country:US
Practice Address - Phone:803-416-2990
Practice Address - Fax:803-590-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty