PRO ACTIVE HEALTH & WELLNESS LLC NPI 1093882797

NPI Information

  • NPI: 1093882797
  • Provider Name: PRO ACTIVE HEALTH & WELLNESS LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1000 JOHNNIE DODDS BLVD
    SUITE 105B
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 388-8813

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NPI Details

PRO ACTIVE HEALTH & WELLNESS LLC is a chiropractor in Mount Pleasant, 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. PRO ACTIVE HEALTH & WELLNESS LLC NPI is 1093882797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 JOHNNIE DODDS BLVD
SUITE 105B
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 388-8813
Fax: (843) 216-8870

The provider's authorized official is Andrew Colin Partridge .
The authorized official title is Owner President and has the following contact phone number (843) 388-3813.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 12/10/2007.

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
1111N00000XChiropractor2861SOUTH 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
1U98140MEDICARE UPIN
2AA02660281MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
3CH2861MEDICAIDSOUTH 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: 11/21/2025

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