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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1649471046 | NPPES |
| South Carolina | MEDICAID | CH1916 |
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