Porter-Fowler, Princess Chateim

Porter-Fowler, Princess Chateim is an sole proprietor health care provider with primary practice located at 450 E Kennedy St , Spartanburg SC 29302-1916. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Porter-Fowler, Princess Chateim can be contacted via phone (864) 585-4564.

Contact Information

Primary practice address
450 E Kennedy St Spartanburg SC 29302-1916
Fax: (864) 585-5614
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2762 South Carolina

Profile Details

NPI number 1114986668
LBN Legal business name Porter-Fowler, Princess Chateim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Mar 21st, 2013 - about 11 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 1114986668 NPPES
South Carolina MEDICAID CH2762
South Carolina MEDICAID GCH460

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