Degraaf, Glenn C

Degraaf, Glenn C is an individual health care provider with primary practice located at 244 Edgefield Rd , North Augusta SC 29841-2407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Degraaf, Glenn C can be contacted via phone (803) 279-3360.

Contact Information

Primary practice address
244 Edgefield Rd North Augusta SC 29841-2407
Phone: (803) 279-3360
Fax: (803) 279-9440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1358 South Carolina

Profile Details

NPI number 1225205636
LBN Legal business name Degraaf, Glenn C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Jun 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225205636 NPPES
South Carolina Other 4215985 AETNA
South Carolina MEDICAID GCH119 AETNA

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