Healthcare Provider Details
I. General information
NPI: 1174785901
Provider Name (Legal Business Name): O'NEILL CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2008
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3640B ASHLEY PHOSPHATE RD
NORTH CHARLESTON SC
29418-8501
US
IV. Provider business mailing address
3640B ASHLEY PHOSPHATE RD
NORTH CHARLESTON SC
29418-8501
US
V. Phone/Fax
- Phone: 843-225-5376
- Fax: 843-225-0043
- Phone: 843-225-5376
- Fax: 843-225-0043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1327 |
| License Number State | SC |
VIII. Authorized Official
Name:
JOSEPH
G
CAREW
Title or Position: OWNER
Credential: DC
Phone: 803-260-7990