Provider Demographics
NPI:1588725287
Name:CHIROPRACTIC SOLUTIONS
Entity type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-881-6656
Mailing Address - Street 1:423 W COLEMAN BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3473
Mailing Address - Country:US
Mailing Address - Phone:843-881-6656
Mailing Address - Fax:843-881-6656
Practice Address - Street 1:423 W COLEMAN BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3473
Practice Address - Country:US
Practice Address - Phone:843-881-6656
Practice Address - Fax:843-881-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH147Medicaid
SCGCH147Medicaid