Fandel, Mark Calvin
Fandel, Mark Calvin is an sole proprietor health care provider with primary practice located at 505 18Th Ave N Ste B , Myrtle Beach SC 29577-3535. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fandel, Mark Calvin can be contacted via phone (843) 626-9340.Contact Information
Primary practice address
505 18Th Ave N Ste B
Myrtle Beach SC 29577-3535
Phone: (843) 626-9340
Fax: (843) 626-9540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2264 | South Carolina |
Profile Details
| NPI number | 1083764062 |
|---|---|
| LBN Legal business name | Fandel, Mark Calvin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 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 | 1083764062 | NPPES |
| South Carolina | MEDICAID | CH2264 |
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