Organization
NEBUER, INC.
Active
Other names
Beaver Chiropractic Spinal Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN J. ORR DC (OWNER)
(803) 366-9482
Entity
Organization
Contact information
Practice address
1906 INDIA HOOK RD, ROCK HILL, SC 29732-1218
(803) 366-9482
(803) 366-1288
Mailing address
1906 INDIA HOOK RD, ROCK HILL, SC 29732-1218
(803) 366-9482
(803) 366-1288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246689598
BLUE CROSS BLUE SHIELD
SC
05
—
GCH301
—
SC
Enumeration date
08/11/2005
Last updated
11/27/2007
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