Addison, Michael Antonio
Addison, Michael Antonio is an sole proprietor health care provider with primary practice located at 1050 Chestnut St , Orangeburg SC 29115-3508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Addison, Michael Antonio can be contacted via phone (803) 534-7100.Contact Information
Primary practice address
1050 Chestnut St
Orangeburg SC 29115-3508
Phone: (803) 534-7100
Fax: (803) 534-7184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1640 | South Carolina |
Profile Details
| NPI number | 1326227778 |
|---|---|
| LBN Legal business name | Addison, Michael Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Nov 1st, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326227778 | NPPES |
| South Carolina | MEDICAID | CHO1640 |
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