Wallace Chiropractic And Spinal Rehab, Llc

LBN: Wallace Chiropractic And Spinal Rehab, Llc
Wallace Chiropractic And Spinal Rehab, Llc is an health care organization with primary practice located at 263 Kelley St Suite 100, Lake City SC 29560-2472. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Wallace Chiropractic And Spinal Rehab, Llc can be contacted via phone (843) 394-8274, or through Knight, Crystal via phone (843) 394-8274.

Contact Information

Primary practice address
263 Kelley St Suite 100 Lake City SC 29560-2472
Phone: (843) 394-8274
Fax: (843) 394-1604
Website:
Map and Directions
Authorized official contact:
Name: Knight, Crystal
Phone: (843) 394-8274

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1873 South Carolina

Profile Details

NPI number 1013188531
LBN Legal business name Wallace Chiropractic And Spinal Rehab, Llc
DBA Doing business as
Authorized official Knight, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Jun 20th, 2013 - about 13 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 1013188531 NPPES
South Carolina MEDICAID GCH113

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