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Contact Information

CLARENDON CHIROPRACTIC
207 BOUNDARY ST
MANNING, SC29102
 Phone: 803-433-2992
 Fax: 803-433-0084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CLARENDON CHIROPRACTIC

NPI # 1134275316
LBN Legal business name CLARENDON CHIROPRACTIC
Authorized official SCOTT BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2007
Last updated 05/06/2008 - About 18 years ago
Identifiers
SC License # 1707
SC Medicaid CH1707
SC Medicaid GCH118
PA Other HI01 HIGHMARK BCBS
SC Other 350041538 RAILROAD MEDICARE
SC Other 270641647 TRICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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