Colucci, Regina Mary

Colucci, Regina Mary is an individual health care provider with primary practice located at 1806 Trolley Road , Summerville SC 29485-8224. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Colucci, Regina Mary can be contacted via phone (843) 875-5700.

Contact Information

Primary practice address
1806 Trolley Road Summerville SC 29485-8224
Phone: (843) 875-5700
Fax: (843) 873-8591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X SC980 South Carolina

Profile Details

NPI number 1699792648
LBN Legal business name Colucci, Regina Mary
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 30th, 2011 - about 15 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 1699792648 NPPES
South Carolina MEDICAID GCH133

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