Ivey, Robin Glenn

Ivey, Robin Glenn is an individual health care provider with primary practice located at 1230 John B White Sr Blvd , Spartanburg SC 29306-3929. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ivey, Robin Glenn can be contacted via phone (864) 574-6840.

Contact Information

Primary practice address
1230 John B White Sr Blvd Spartanburg SC 29306-3929
Fax: (864) 587-8227
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 985 South Carolina

Profile Details

NPI number 1124099171
LBN Legal business name Ivey, Robin Glenn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124099171 NPPES
South Carolina MEDICAID CH0985

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