Provider Demographics
NPI:1487623807
Name:DRINKALL, DENNIS R
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:R
Last Name:DRINKALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11489 SC HWY 121
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-4002
Mailing Address - Country:US
Mailing Address - Phone:803-276-8833
Mailing Address - Fax:
Practice Address - Street 1:11489 SC HWY 121
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-4002
Practice Address - Country:US
Practice Address - Phone:803-276-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH0718Medicaid