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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265411193 | NPPES |
| South Carolina | MEDICAID | CH1332 | |
| South Carolina | MEDICAID | GCH150 | |
| South Carolina | Other | 616070 |
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