Hartzog, Kendall David

Hartzog, Kendall David is an sole proprietor health care provider with primary practice located at 404B East Martintown Road , North Augusta SC 29841. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hartzog, Kendall David can be contacted via phone (803) 279-2729.

Contact Information

Primary practice address
404B East Martintown Road North Augusta SC 29841
Phone: (803) 279-2729
Fax: (803) 279-2720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2729 South Carolina

Profile Details

NPI number 1134110869
LBN Legal business name Hartzog, Kendall David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Jan 23rd, 2012 - about 13 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 1134110869 NPPES
South Carolina MEDICAID CH2729

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