Broome, Clayton Lee
Broome, Clayton Lee is an individual health care provider with primary practice located at 1400 John B White Sr Blvd , Spartanburg SC 29306-3927. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Broome, Clayton Lee can be contacted via phone (864) 707-0123.Contact Information
Primary practice address
1400 John B White Sr Blvd
Spartanburg SC 29306-3927
Phone: (864) 707-0123
Fax: (864) 752-9443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 3754 | South Carolina |
Chiropractic Providers / Rehabilitation | 111NR0400X | 3754 | South Carolina |
Profile Details
NPI number | 1346595410 |
---|---|
LBN Legal business name | Broome, Clayton Lee |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2012 |
Last updated | Sep 11th, 2023 - about last year |
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 | 1346595410 | NPPES |
South Carolina | MEDICAID | CH375 |
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