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39 STRIPES NPI 1386190882


NPI Information

NPI: 1386190882
Provider Name: 39 STRIPES

Doing Business As: REGENT PARK CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8180 REGENT PKWY
104
FORT MILL, SC
ZIP 29715
Phone: (803) 517-9713
Get Directions

39 STRIPES is a chiropractor in Fort Mill, 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. 39 STRIPES NPI is 1386190882. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regent Park Chiropractic.

The provider's business location address is:

8180 REGENT PKWY
104
FORT MILL, SC
ZIP 29715-417
Phone: (803) 517-9713

The provider's authorized official is Adam Henderson .
The authorized official title is Owner/doctor and has the following contact phone number (803) 517-9713.

The enumeration date for this NPI number is 8/25/2016 and was last updated on 8/25/2016.


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
1111N00000XChiropractor3696SOUTH CAROLINAYes

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

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