Quattlebaum, Brian E
Quattlebaum, Brian E is an sole proprietor health care provider with primary practice located at 302A Midland Pkwy , Summerville SC 29485-8102. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Quattlebaum, Brian E can be contacted via phone (843) 552-8000.Contact Information
Primary practice address
302A Midland Pkwy
Summerville SC 29485-8102
Phone: (843) 552-8000
Fax: (843) 552-0093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 3095 | South Carolina |
Profile Details
| NPI number | 1134141161 |
|---|---|
| LBN Legal business name | Quattlebaum, Brian E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134141161 | NPPES |
| South Carolina | MEDICAID | CH3095 |
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