Thayer, Mark W
Thayer, Mark W is an individual health care provider with primary practice located at 1103 Ella St , Anderson SC 29621-4809. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thayer, Mark W can be contacted via phone (864) 226-6055.Contact Information
Primary practice address
1103 Ella St
Anderson SC 29621-4809
Phone: (864) 226-6055
Fax: (864) 226-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1597 | South Carolina |
Profile Details
| NPI number | 1396700506 |
|---|---|
| LBN Legal business name | Thayer, Mark W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Nov 14th, 2011 - about 15 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 | 1396700506 | NPPES |
| South Carolina | MEDICAID | CH1597 |
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