Grossman, Farrel Irvin

Grossman, Farrel Irvin is an sole proprietor health care provider with primary practice located at 283 Dorchester Manor Blvd , N Charleston SC 29420-8108. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Grossman, Farrel Irvin can be contacted via phone (843) 552-8000.

Contact Information

Primary practice address
283 Dorchester Manor Blvd N Charleston SC 29420-8108
Fax: (843) 552-0093
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1075 South Carolina

Profile Details

NPI number 1336161405
LBN Legal business name Grossman, Farrel Irvin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 21st, 2022 - about 2 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 1336161405 NPPES
South Carolina MEDICAID GCH299

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