Conger, Randall James

Conger, Randall James is an individual health care provider with primary practice located at 101 Stone Village Drive , Fort Mill SC 29708-6489. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Conger, Randall James can be contacted via phone (803) 802-5322.

Contact Information

Primary practice address
101 Stone Village Drive Fort Mill SC 29708-6489
Phone: (803) 802-5322
Fax: (803) 802-5665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2295 South Carolina
Chiropractic Providers / Chiropractor 111N00000X 1915 North Carolina

Profile Details

NPI number 1649471046
LBN Legal business name Conger, Randall James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649471046 NPPES
South Carolina MEDICAID CH1916

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