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DR. BLACK'S FAMILY CHIROPRACTIC CENTER NPI 1144286568


NPI Information

NPI: 1144286568
Provider Name: DR. BLACK'S FAMILY CHIROPRACTIC CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
430 S HERLONG AVE
SUITE 101
ROCK HILL, SC
ZIP 29732
Phone: (803) 328-3444
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DR. BLACK'S FAMILY CHIROPRACTIC CENTER is a chiropractor in Rock Hill, 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. DR. BLACK'S FAMILY CHIROPRACTIC CENTER NPI is 1144286568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 S HERLONG AVE
SUITE 101
ROCK HILL, SC
ZIP 29732-094
Phone: (803) 328-3444
Fax: (803) 328-6811

The provider's authorized official is Christopher Michael Black .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (803) 328-3444.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 10/15/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2607SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U865730282MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE #
2CH2607MEDICAIDSOUTH CAROLINA
386573MEDICARE UPINSOUTH 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: 4/28/2024

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