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Contact Information

WALNUT LANE MANAGEMENT LLC
148 WALNUT LANE
SUITE I
TRAVELERS REST, SC29690
 Phone: 864-834-8099
 Fax: 864-834-8108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WALNUT LANE MANAGEMENT LLC · (Female)

NPI Number 1679529010
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 1637
  • SC Medicaid CH1637
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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