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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

NPI Number 1588878425
LBN Legal business name BL SPINE
Authorized official DANA LYBRAND - (OWNER CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 09/06/2007 - About 19 years ago
Identifiers
SC License # 2564
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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