Izquierdo, Manuel Alberto

Izquierdo, Manuel Alberto is an individual health care provider with primary practice located at 140A Bridges Rd Live Well Chiropractic, Mauldin SC 29662. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Izquierdo, Manuel Alberto can be contacted via phone (864) 627-4325.

Contact Information

Primary practice address
140A Bridges Rd Live Well Chiropractic Mauldin SC 29662
Fax: (864) 627-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1282 South Carolina

Profile Details

NPI number 1225063662
LBN Legal business name Izquierdo, Manuel Alberto
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 5th, 2008 - about 16 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 1225063662 NPPES
South Carolina MEDICAID CH1282

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