Wise, Nicholas Alexander
Wise, Nicholas Alexander is an individual health care provider with primary practice located at 1400 Fernwood Glendale Rd , Spartanburg SC 29307-3043. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wise, Nicholas Alexander can be contacted via phone (864) 585-5558.Contact Information
Primary practice address
1400 Fernwood Glendale Rd
Spartanburg SC 29307-3043
Phone: (864) 585-5558
Fax: (864) 585-9888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 2549 | South Carolina |
Profile Details
NPI number | 1194784140 |
---|---|
LBN Legal business name | Wise, Nicholas Alexander |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Jul 23rd, 2009 - about 15 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 | 1194784140 | NPPES |
South Carolina | MEDICAID | CH2549 |
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