Mitchell E Falk, D.C.
Individual provider Active NPI Chiropractor · Mullins, SC
NPI 1982609210 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982609210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 961 (SC)
- Practice address
- 270 S Main St
Mullins, SC 29574-3120 - Phone
- (843) 464-8700
- Fax
- (843) 464-1670
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000063 | SC | Practitioner - Chiropractic | 3870509276 | Practice locations: Mullins, SC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 961 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Healthcare of Mullins | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 961 | SC | Yes |
Addresses
Primary practice location
270 S Main St
Mullins, SC 29574-3120
Mailing address
270 S Main St
Mullins, SC 29574-3120
Phone (843) 464-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570848535 | Other | SC | 1 |
| CH0961 | Medicaid | SC |
Other providers in Mullins, SC
- James Louis Dedonis
- Dhec
- Bryan Dickison
- Okechukwu Dimkpa
- Eagle Nursing LLC
- Luna Renea Fleming
- Douglas Ray Floyd
- Helga Regina Floyd
- Follow the Turtle LLC
- Deborah Ford
All providers in Mullins, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.