Belue, C. Derrick

Belue, C. Derrick is an individual health care provider with primary practice located at 813 N Pine St , Spartanburg SC 29303-3128. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Belue, C. Derrick can be contacted via phone (864) 585-2600.

Contact Information

Primary practice address
813 N Pine St Spartanburg SC 29303-3128
Fax: (864) 585-5643
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1369 South Carolina

Profile Details

NPI number 1811945686
LBN Legal business name Belue, C. Derrick
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811945686 NPPES
South Carolina MEDICAID CH1369

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