National Provider Identifier Database

HEALTHSOURCE OF ORANGEBURG 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

HEALTHSOURCE OF ORANGEBURG LLC
857 HOLLY STREET
ORANGEBURG, SC29115
Phone: 803-535-0220
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF ORANGEBURG LLC

NPI Number 1710202288
Legal business name
LBN
HEALTHSOURCE OF ORANGEBURG LLC
Authorized official KAYLA COOPER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/29/2010
Last updated 05/27/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 3600
  • SC Medicaid: CH2544

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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