Provider Demographics
NPI:1306270285
Name:REESE CHIROPRACTIC INC
Entity type:Organization
Organization Name:REESE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-856-9648
Mailing Address - Street 1:1037 ANNA KNAPP BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3674
Mailing Address - Country:US
Mailing Address - Phone:843-856-9648
Mailing Address - Fax:843-856-9649
Practice Address - Street 1:1037 ANNA KNAPP BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3674
Practice Address - Country:US
Practice Address - Phone:843-856-9648
Practice Address - Fax:843-856-9649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty