Simon, Larry Edward

Simon, Larry Edward is an individual health care provider with primary practice located at 3103 S Highway 17 , Garden City SC 29576-7629. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Simon, Larry Edward can be contacted via phone (843) 357-3800.

Contact Information

Primary practice address
3103 S Highway 17 Garden City SC 29576-7629
Phone: (843) 357-3800
Fax: (843) 357-3117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1332 South Carolina

Profile Details

NPI number 1265411193
LBN Legal business name Simon, Larry Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
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 1265411193 NPPES
South Carolina MEDICAID CH1332
South Carolina MEDICAID GCH150
South Carolina Other 616070

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