Provider Demographics
NPI:1952619116
Name:RABIN CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:RABIN CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RABIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-881-6343
Mailing Address - Street 1:712 S SHELMORE BLVD 105
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3449
Mailing Address - Country:US
Mailing Address - Phone:843-881-6343
Mailing Address - Fax:843-278-8449
Practice Address - Street 1:712 S SHELMORE BLVD
Practice Address - Street 2:105
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3449
Practice Address - Country:US
Practice Address - Phone:843-881-6343
Practice Address - Fax:843-278-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2924261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center