Bergrin, Jon Keith
Bergrin, Jon Keith is an individual health care provider with primary practice located at 405 S Ebenezer Rd , Florence SC 29501-7916. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bergrin, Jon Keith can be contacted via phone (843) 662-4341.Contact Information
Primary practice address
405 S Ebenezer Rd
Florence SC 29501-7916
Phone: (843) 662-4341
Fax: (843) 679-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1184 | South Carolina |
Profile Details
| NPI number | 1285608208 |
|---|---|
| LBN Legal business name | Bergrin, Jon Keith |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285608208 | NPPES |
| South Carolina | MEDICAID | CH1184 |
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