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Contact Information

BL SPINE
365 E COLUMBIA AVE
LEESVILLE, SC29070
 Phone: 803-332-2663
 Fax: 803-332-2663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BL SPINE · (Female)

NPI # 1588878425
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2007
Last updated 09/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 2564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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