Hartley, Alan David

Hartley, Alan David is an individual health care provider with primary practice located at 244 Latitude Ln Suite 104, Lake Wylie SC 29710-8124. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hartley, Alan David can be contacted via phone (803) 831-6500.

Contact Information

Primary practice address
244 Latitude Ln Suite 104 Lake Wylie SC 29710-8124
Fax: (803) 831-6383
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2361 South Carolina

Profile Details

NPI number 1275576472
LBN Legal business name Hartley, Alan David
Credentials PH.D., DC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 11th, 2012 - about 12 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 1275576472 NPPES
South Carolina MEDICAID CH2361
South Carolina MEDICAID GCH347

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