Shirley, Mark Coleman
Shirley, Mark Coleman is an individual health care provider with primary practice located at 612 Saint Andrews Rd , Columbia SC 29210-5120. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shirley, Mark Coleman can be contacted via phone (803) 772-7626.Contact Information
Primary practice address
612 Saint Andrews Rd
Columbia SC 29210-5120
Phone: (803) 772-7626
Fax: (803) 772-7659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2245 | South Carolina |
Profile Details
| NPI number | 1619926995 |
|---|---|
| LBN Legal business name | Shirley, Mark Coleman |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619926995 | NPPES |
| South Carolina | MEDICAID | CH2245 |
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