Pro Active Health & Wellness Llc

LBN: Pro Active Health & Wellness Llc
Pro Active Health & Wellness Llc is an health care organization with primary practice located at 1000 Johnnie Dodds Blvd Suite 105B, Mount Pleasant SC 29464. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Pro Active Health & Wellness Llc can be contacted via phone (843) 388-8813, or through Partridge, Andrew Colin via phone (843) 388-3813.

Contact Information

Primary practice address
1000 Johnnie Dodds Blvd Suite 105B Mount Pleasant SC 29464
Phone: (843) 388-8813
Fax: (843) 216-8870
Website:
Map and Directions
Authorized official contact:
Name: Partridge, Andrew Colin Doctor of Chiropractic (DC)
Phone: (843) 388-3813

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2861 South Carolina

Profile Details

NPI number 1093882797
LBN Legal business name Pro Active Health & Wellness Llc
DBA Doing business as
Authorized official Partridge, Andrew Colin Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 10th, 2007 - about 17 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 1093882797 NPPES
South Carolina MEDICAID CH2861

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