Heldreth, Judson Lane

Heldreth, Judson Lane is an individual health care provider with primary practice located at 929 N Lake Dr , Lexington SC 29072-2137. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Heldreth, Judson Lane can be contacted via phone (803) 356-8554.

Contact Information

Primary practice address
929 N Lake Dr Lexington SC 29072-2137
Fax: (803) 356-8245
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 2254 South Carolina

Profile Details

NPI number 1255309068
LBN Legal business name Heldreth, Judson Lane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 23rd, 2011 - 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 1255309068 NPPES
South Carolina MEDICAID CH2254

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