Izquierdo, Manuel Alberto
Izquierdo, Manuel Alberto is an individual health care provider with primary practice located at 140A Bridges Rd Live Well Chiropractic, Mauldin SC 29662. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Izquierdo, Manuel Alberto can be contacted via phone (864) 627-4325.Contact Information
Primary practice address
140A Bridges Rd Live Well Chiropractic
Mauldin SC 29662
Phone: (864) 627-4325
Fax: (864) 627-7733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1282 | South Carolina |
Profile Details
| NPI number | 1225063662 |
|---|---|
| LBN Legal business name | Izquierdo, Manuel Alberto |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 5th, 2008 - about 18 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 | 1225063662 | NPPES |
| South Carolina | MEDICAID | CH1282 |
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