Boyles, Gerald Vance

Boyles, Gerald Vance is an individual health care provider with primary practice located at 507 Elm St W , Hampton SC 29924-3101. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boyles, Gerald Vance can be contacted via phone (803) 943-5774.

Contact Information

Primary practice address
507 Elm St W Hampton SC 29924-3101
Fax: (803) 943-2162
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2357 South Carolina

Profile Details

NPI number 1235195280
LBN Legal business name Boyles, Gerald Vance
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235195280 NPPES
South Carolina MEDICAID CH2357

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