Provider Demographics
NPI:1932569506
Name:ALL STAR CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ALL STAR CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAR'LEE
Authorized Official - Middle Name:PICKENS
Authorized Official - Last Name:STOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-423-0315
Mailing Address - Street 1:996 BATESVILLE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6825
Mailing Address - Country:US
Mailing Address - Phone:864-423-0315
Mailing Address - Fax:
Practice Address - Street 1:996 BATESVILLE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6824
Practice Address - Country:US
Practice Address - Phone:864-605-7544
Practice Address - Fax:864-605-7546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty