MEDICARE: DR. STEVEN CHASE CONNEL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC4159	SC

General Provider Information

NPI Number	:	1609322999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CHASE CONNEL D.C.

Provider Business Mailing Address
First Line	:	165 LIGHTHOUSE COVE LOOP
Second Line	:
City	:	CAROLINA SHORES
State	:	NC
Zip	:	28467
Country	:	US
Telephone Number	:	910-880-1352
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 HIGHWAY 17 N
Second Line	:	SUITE 201
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-8107
Country	:	US
Telephone Number	:	843-273-0016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	08/28/2016

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Directions to “ DR. STEVEN CHASE CONNEL D.C.” Practice Location

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