VANFOSSEN LLC NPI 1417429374

NPI Information

  • NPI: 1417429374
  • Provider Name: VANFOSSEN LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: HEALTHSOURCE OF SOUTHSIDE AIKEN
  • Address: 550 SILVER BLUFF RD STE 200
    AIKEN, SC
    ZIP 29803
  • Phone: (864) 303-2679

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NPI Details

VANFOSSEN LLC is a chiropractor in Aiken, 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. VANFOSSEN LLC NPI is 1417429374. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Of Southside Aiken.

The provider's business location address is:

550 SILVER BLUFF RD STE 200
AIKEN, SC
ZIP 29803-835
Phone: (864) 303-2679
Fax: (330) 319-8842

The provider's authorized official is Ethan Vanfossen .
The authorized official title is Owner and has the following contact phone number (864) 303-2679.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 1/2/2019.

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
1111N00000XChiropractorYes

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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