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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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