Provider Demographics
NPI:1871747485
Name:STRICKLAND, JONATHAN CRAIG (DC)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:CRAIG
Last Name:STRICKLAND
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 1:1539 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-9224
Mailing Address - Country:US
Mailing Address - Phone:843-249-9787
Mailing Address - Fax:843-249-9655
Practice Address - Street 1:1539 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-9224
Practice Address - Country:US
Practice Address - Phone:843-249-9787
Practice Address - Fax:843-249-9655
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCBLC1505843111N00000X
SC3406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor