Colucci, Robert William

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

Contact Information

Primary practice address
1806 Old Trolley Rd Summerville SC 29485-8224
Fax: (843) 873-8591
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X SC974 South Carolina

Profile Details

NPI number 1417978214
LBN Legal business name Colucci, Robert William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 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 1417978214 NPPES
South Carolina MEDICAID GCH133

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