Bousquet, Robert G

Bousquet, Robert G is an individual health care provider with primary practice located at 655 Fairview Rd Suite J, Simpsonville SC 29680-7500. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bousquet, Robert G can be contacted via phone (864) 962-8800.

Contact Information

Primary practice address
655 Fairview Rd Suite J Simpsonville SC 29680-7500
Phone: (864) 962-8800
Fax: (864) 228-9129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2296 South Carolina

Profile Details

NPI number 1043335102
LBN Legal business name Bousquet, Robert G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 22nd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043335102 NPPES
South Carolina MEDICAID CH2296

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