Provider Demographics
NPI:1366288391
Name:MCBURNEY, BENJAMIN ROSS (DC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ROSS
Last Name:MCBURNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 BEAVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-8019
Mailing Address - Country:US
Mailing Address - Phone:864-381-8136
Mailing Address - Fax:
Practice Address - Street 1:165 BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:CHESNEE
Practice Address - State:SC
Practice Address - Zip Code:29323-8019
Practice Address - Country:US
Practice Address - Phone:864-381-8136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5112111N00000X
NC5792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor