Escobedo, Mark U

Escobedo, Mark U is an individual health care provider with primary practice located at 121 Sparkleberry Crossing Rd Suite 200, Columbia SC 29229-8639. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Escobedo, Mark U can be contacted via phone (803) 788-2167.

Contact Information

Primary practice address
121 Sparkleberry Crossing Rd Suite 200 Columbia SC 29229-8639
Fax: (803) 788-4165
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2360 South Carolina

Profile Details

NPI number 1801835574
LBN Legal business name Escobedo, Mark U
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2014 - about 10 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 1801835574 NPPES
South Carolina MEDICAID CH2360

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