Martial Art Academy

LBN: Martial Art Academy
Martial Art Academy is an health care organization with primary practice located at 1302 Whiskey Rd , Aiken SC 29803-5308. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Martial Art Academy can be contacted via phone (803) 642-5723, or through Blocker, Andrew Leroy via phone (803) 642-5723.

Contact Information

Primary practice address
1302 Whiskey Rd Aiken SC 29803-5308
Phone: (803) 642-5723
Fax: (803) 642-1158
Website:
Map and Directions
Authorized official contact:
Name: Blocker, Andrew Leroy
Phone: (803) 642-5723

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649247750
LBN Legal business name Martial Art Academy
DBA Doing business as
Authorized official Blocker, Andrew Leroy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649247750 NPPES
South Carolina MEDICAID MC0061

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