One Source Integrative Medicine

LBN: One Source Integrative Medicine
One Source Integrative Medicine is an health care organization with primary practice located at 1601A W Lucas St , Florence SC 29501-1225. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. One Source Integrative Medicine can be contacted via phone (843) 992-7604, or through Evans, Jennifer M via phone (843) 992-7604.

Contact Information

Primary practice address
1601A W Lucas St Florence SC 29501-1225
Phone: (843) 992-7604
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jennifer M Doctor of Chiropractic (DC)
Phone: (843) 992-7604

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1912651647
LBN Legal business name One Source Integrative Medicine
DBA Doing business as
Authorized official Evans, Jennifer M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 2022 - about 4 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 1912651647 NPPES
South Carolina Other 1578993820 NPI

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