Provider Type Icon

THE UPSTATE CLINIC OF SPECIFIC CHIR NPI 1679787618


NPI Information

NPI: 1679787618
Provider Name: THE UPSTATE CLINIC OF SPECIFIC CHIR

Other Name: THE UPSTATE CLINIC OF SPECIFIC CHIROPRACTIC, P.A.

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
838 POWDERSVILLE RD
SUITE R
EASLEY, SC
ZIP 29642
Phone: (864) 855-3255
Get Directions

THE UPSTATE CLINIC OF SPECIFIC CHIR is a chiropractor in Easley, SC. The provider is 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. THE UPSTATE CLINIC OF SPECIFIC CHIR NPI is 1679787618. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is The Upstate Clinic Of Specific Chiropractic, P.a..

The provider's business location address is:

838 POWDERSVILLE RD
SUITE R
EASLEY, SC
ZIP 29642-703
Phone: (864) 855-3255
Fax: (864) 855-3254

The provider's authorized official is Stephen A Conicello .
The authorized official title is President and has the following contact phone number (864) 855-3255.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3243SOUTH CAROLINANo
2111N00000XChiropractor2941SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18146MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.