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Organization
SIMPSONVILLE FAMILY CHIROPRACTIC, INC.
Active
Organization
SIMPSONVILLE FAMILY CHIROPRACTIC, INC.
Active
Other names
Simpsonville Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A O'BLENESS D.C. (PRESIDENT)
(864) 962-8800
Entity
Organization
Contact information
Practice address
655 FAIRVIEW RD, SUITE J, SIMPSONVILLE, SC 29680-7500
(864) 962-8800
(864) 228-9129
Mailing address
655 FAIRVIEW RD, SUITE J, SIMPSONVILLE, SC 29680-7500
(864) 962-8800
(864) 228-9129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 2296
SC
111N00000X
Chiropractor
CH 2503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043335102
DR. BOUSQUET NPI
SC
01
—
1962527291
DR. O'BLENESS NPI
SC
05
—
GCH442
—
SC
Enumeration date
10/04/2006
Last updated
08/22/2020
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