Provider Demographics
NPI:1811916026
Name:KEELS, JOSHUA C (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:KEELS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 BERRY SHOALS ROAD
Mailing Address - Street 2:ABNER CREEK FAMILY & SPORTS CHIROPRACTIC
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651
Mailing Address - Country:US
Mailing Address - Phone:864-801-3230
Mailing Address - Fax:864-801-3223
Practice Address - Street 1:1110 BERRY SHOALS ROAD
Practice Address - Street 2:ABNER CREEK FAMILY & SPORTS CHIROPRACTIC
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651
Practice Address - Country:US
Practice Address - Phone:864-801-3230
Practice Address - Fax:864-801-3223
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3000111N00000X
SC300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH300Medicaid
SCCH300Medicaid
SCV06841Medicare ID - Type Unspecified