Healthcare Provider Details

I. General information

NPI: 1952936379
Provider Name (Legal Business Name): FRANKLIN BENIK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 TWO NOTCH RD
LEXINGTON SC
29072-7963
US

IV. Provider business mailing address

2480 TWO NOTCH RD
LEXINGTON SC
29072-7963
US

V. Phone/Fax

Practice location:
  • Phone: 803-951-5871
  • Fax:
Mailing address:
  • Phone: 803-951-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4541
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: