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
Fax: (864) 585-9888
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194784140 NPPES
South Carolina MEDICAID CH2549

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