Vanderpool, Tony Wayne
Vanderpool, Tony Wayne is an sole proprietor health care provider with primary practice located at 1965 Riviera Dr Suite 3, Mt Pleasant SC 29464-7469. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vanderpool, Tony Wayne can be contacted via phone (843) 884-7100.Contact Information
Primary practice address
1965 Riviera Dr Suite 3
Mt Pleasant SC 29464-7469
Phone: (843) 884-7100
Fax: (843) 884-7340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | SC2149 | South Carolina |
Profile Details
| NPI number | 1093763732 |
|---|---|
| LBN Legal business name | Vanderpool, Tony Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 30th, 2011 - about 14 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 | 1093763732 | NPPES |
| South Carolina | MEDICAID | CH2149 |
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