Three Fountains Chiropractic, Inc.

LBN: Three Fountains Chiropractic, Inc.
Three Fountains Chiropractic, Inc. is an health care organization with primary practice located at 1926 S Lake Dr , Lexington SC 29073-8282. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Three Fountains Chiropractic, Inc. can be contacted via phone (803) 808-1897, or through Gooldy, David R via phone (803) 808-1897.

Contact Information

Primary practice address
1926 S Lake Dr Lexington SC 29073-8282
Phone: (803) 808-1897
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gooldy, David R Doctor of Chiropractic (DC)
Phone: (803) 808-1897

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2108 South Carolina

Profile Details

NPI number 1679560742
LBN Legal business name Three Fountains Chiropractic, Inc.
DBA Doing business as
Authorized official Gooldy, David R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 24th, 2007 - about 19 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 1679560742 NPPES
South Carolina MEDICAID CH2108

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