Glaza Chiropractic Center, Inc

LBN: Glaza Chiropractic Center, Inc
Glaza Chiropractic Center, Inc is an health care organization with primary practice located at 548 Nautical Dr Suite 204, Lake Wylie SC 29710-0016. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Glaza Chiropractic Center, Inc can be contacted via phone (803) 831-2345, or through Glaza, Al Gerard via phone (803) 831-2345.

Contact Information

Primary practice address
548 Nautical Dr Suite 204 Lake Wylie SC 29710-0016
Phone: (803) 831-2345
Fax: (803) 831-2007
Website:
Map and Directions
Authorized official contact:
Name: Glaza, Al Gerard Doctor of Chiropractic (DC)
Phone: (803) 831-2345

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1193 South Carolina

Profile Details

NPI number 1679679971
LBN Legal business name Glaza Chiropractic Center, Inc
DBA Doing business as
Authorized official Glaza, Al Gerard Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679679971 NPPES
South Carolina MEDICAID GCH293

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