Quattlebaum Chiropractic

LBN: Quattlebaum Chiropractic
Quattlebaum Chiropractic is an health care organization with primary practice located at 283 Dorchester Manor Blvd , North Charleston SC 29420-8108. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Suppliers / Durable Medical Equipment & Medical Supplies. Chiropractic Providers / Sports Physician is the primary health care specialty. Quattlebaum Chiropractic can be contacted via phone (843) 552-8000, or through Quattlebaum, Brian via phone (843) 552-8000.

Contact Information

Primary practice address
283 Dorchester Manor Blvd North Charleston SC 29420-8108
Fax: (843) 552-0093
Website:
Authorized official contact:
Name: Quattlebaum, Brian Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3095 South Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 3095 South Carolina

Profile Details

NPI number 1114248739
LBN Legal business name Quattlebaum Chiropractic
DBA Doing business as
Authorized official Quattlebaum, Brian Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2010
Last updated Aug 12th, 2010 - about 14 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 1114248739 NPPES
South Carolina MEDICAID CH3095

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