Provider Demographics
NPI:1881605236
Name:ACCESS CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:ACCESS CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MUSCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-366-7400
Mailing Address - Street 1:2253 CELANESE RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1307
Mailing Address - Country:US
Mailing Address - Phone:803-366-7400
Mailing Address - Fax:803-573-9440
Practice Address - Street 1:2253 CELANESE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1307
Practice Address - Country:US
Practice Address - Phone:803-366-7400
Practice Address - Fax:803-573-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2887Medicaid
SC7929Medicare PIN
SCCH2887Medicaid