Mennetti, Brian T

Mennetti, Brian T is an individual health care provider with primary practice located at 137 East 2Nd North St , Summerville SC 29483-6628. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mennetti, Brian T can be contacted via phone (843) 871-7003.

Contact Information

Primary practice address
137 East 2Nd North St Summerville SC 29483-6628
Phone: (843) 871-7003
Fax: (843) 871-0882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1793 South Carolina

Profile Details

NPI number 1205889961
LBN Legal business name Mennetti, Brian T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 3rd, 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 1205889961 NPPES
South Carolina Other 571013904 TAX IDENTIFICATION NUMBER
South Carolina MEDICAID CH 1793 TAX IDENTIFICATION NUMBER
South Carolina MEDICAID GCH 123 TAX IDENTIFICATION NUMBER

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