Ideal Lifestyle Practice Llc | |
757 Long Point Rd, Mt Pleasant, SC 29464-8328 | |
(843) 424-5847 | |
Not Available |
Full Name | Ideal Lifestyle Practice Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 757 Long Point Rd, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063832772 | NPI | - | NPPES |
3867 | Other | SC | SOUTH CAROLINA STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3867 (South Carolina) | Primary |
111N00000X | Chiropractor | 3868 (South Carolina) | Secondary |
Provider Name | Seth Chad Strauss |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518387299 PECOS PAC ID: 3971812207 Enrollment ID: I20151215001105 |
Mailing Address | Practice Location Address |
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Ideal Lifestyle Practice Llc 757 Long Point Rd, Mt Pleasant, SC 29464-8328 Ph: (843) 424-5847 | Ideal Lifestyle Practice Llc 757 Long Point Rd, Mt Pleasant, SC 29464-8328 Ph: (843) 424-5847 |
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