Crockford, Robert J
Crockford, Robert J is an sole proprietor health care provider with primary practice located at 123 W Main St , Duncan SC 29334-9369. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Crockford, Robert J can be contacted via phone (864) 949-5550.Contact Information
Primary practice address
123 W Main St
Duncan SC 29334-9369
Phone: (864) 949-5550
Fax: (864) 949-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3281 | South Carolina |
Profile Details
| NPI number | 1457544959 |
|---|---|
| LBN Legal business name | Crockford, Robert J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Oct 28th, 2010 - about 16 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 | 1457544959 | NPPES |
| South Carolina | MEDICAID | CH3281 |
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