Stengel, Glenn Russell
Stengel, Glenn Russell is an individual health care provider with primary practice located at 1521 Main St , Conway SC 29526-5001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stengel, Glenn Russell can be contacted via phone (843) 248-7040.Contact Information
Primary practice address
1521 Main St
Conway SC 29526-5001
Phone: (843) 248-7040
Fax: (843) 248-7538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2009 | South Carolina |
Profile Details
| NPI number | 1972544898 |
|---|---|
| LBN Legal business name | Stengel, Glenn Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 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 | 1972544898 | NPPES |
| South Carolina | MEDICAID | GCH226 |
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