Island Chiropractic & Wellness Ctr

Key facts

NPI

1962448852

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

5872 (GA)

Legal business name

ISLAND CHIROPRACTIC & WELLNESS CTR

Practice address

132 Retreat Plaza
Ste B
St Simons Island, GA 31522

Phone

(912) 634-2245

Fax

(912) 634-8780

NPI assigned

Jun 21, 2006

Organization subpart

No

Authorized official

Name

Dr. Howard A Berg, DC NPI 1093900367

Title

Owner Doctor of Chiropractic Medici

Phone

(912) 634-2245

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard A Berg, DC Chiropractor · St Simons Island, GA · NPI 1093900367
  NPD (past) Authorized official CHIROPRACTOR

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2010.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1962448852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RETREAT PLAZA",
            "address_2": "STE B",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RETREAT PLAZA",
            "address_2": "STE B",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHIROPRACTIC & WELLNESS CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR OF CHIROPRACTIC MEDICI",
        "authorized_official_telephone_number": "912-634-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

• House Calls of Coastal Georgia, PC
• Alexandra Noel Houser, DPT. PT
• James Houston, PTA
• Christine Howell, L.M.T.
• Independent Physical Therapy of Ga, LLC
• Island Dental Partners, LLC
• Island Surgery Center, Inc.
• Jennifer Herrin, LPC
• Guoliang Jiang
• Johnson Medical and Aesthetics

All providers in St Simons Island, GA · Chiropractor in Georgia