<Unavail>
LBN: Jon K Bergrin Dc Pa
<Unavail> is an health care organization with primary practice located at 405 S Ebenezer Rd , Florence SC 29501-7916. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Jon K Bergrin Dc Pa can be contacted via phone (843) 662-4341, or through Bergrin, Jon Keith via phone (843) 662-4341.
Contact Information
Primary practice address
405 S Ebenezer Rd
Florence SC 29501-7916
Phone: (843) 662-4341
Fax: (843) 679-3060
Website:
Authorized official contact:
Name: Bergrin, Jon Keith Doctor of Chiropractic (DC)
Phone: (843) 662-4341
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1184 | South Carolina |
Profile Details
| NPI number | 1740259316 |
|---|---|
| LBN Legal business name | Jon K Bergrin Dc Pa |
| DBA Doing business as | <Unavail> |
| Authorized official | Bergrin, Jon Keith Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740259316 | NPPES |
| South Carolina | Other | 1285608208 | INDIVIDUAL NPI |
| South Carolina | MEDICAID | CH1184 | INDIVIDUAL NPI |
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