Provider Demographics
NPI:1679303150
Name:INLET CROSSING CHIROPRACTIC
Entity type:Organization
Organization Name:INLET CROSSING CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRINKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-721-0987
Mailing Address - Street 1:130 MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8916
Mailing Address - Country:US
Mailing Address - Phone:845-721-0987
Mailing Address - Fax:
Practice Address - Street 1:3328 S HIGHWAY 17 UNIT K
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7634
Practice Address - Country:US
Practice Address - Phone:432-202-5138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty