=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164877908
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOST CHIROPRACTIC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2016
-----------------------------------------------------
Last Update Date | 07/01/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 HOSPITAL CENTER CMNS SUITE 200A
-----------------------------------------------------
City | HILTON HEAD ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29926-2843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-295-6797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26 WAX MYRTLE CT
-----------------------------------------------------
City | HILTON HEAD ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29926-1051
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-295-6797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CHRIS S MOST
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 843-295-6797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 2018
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------