National Provider Identifier Database

WALNUT LANE MANAGEMENT LLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for WALNUT LANE MANAGEMENT LLC

NPI Number 1679529010
Legal business name
LBN
WALNUT LANE MANAGEMENT LLC
Authorized official NANCY ST JOHN - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 05/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 1637
  • SC Medicaid: CH1637

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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