Dove, Clyde Jason

Dove, Clyde Jason is an individual health care provider with primary practice located at 3403 C White Horse Rd , Greenville SC 29611. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dove, Clyde Jason can be contacted via phone (864) 220-2882.

Contact Information

Primary practice address
3403 C White Horse Rd Greenville SC 29611
Phone: (864) 220-2882
Fax: (864) 235-2815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2188 South Carolina

Profile Details

NPI number 1881719680
LBN Legal business name Dove, Clyde Jason
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
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 1881719680 NPPES
South Carolina MEDICAID CH2188

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