| 100 Chiro Livingood Fraedrich Pc Llc | |
|
8 W Lewis Plz, Greenville, SC 29605-2940 | |
| (864) 283-6014 | |
| Not Available |
| Full Name | 100 Chiro Livingood Fraedrich Pc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8 W Lewis Plz, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487325213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael D Sanandajian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285378117 PECOS PAC ID: 6709263668 Enrollment ID: I20220513001869 |
| Provider Name | Benjamin Giebell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396189940 PECOS PAC ID: 2466695929 Enrollment ID: I20220721001134 |
| Provider Name | Jonathan L Becerra Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487416616 PECOS PAC ID: 2365883790 Enrollment ID: I20240515003622 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Livingood Fraedrich Pc Llc 8 W Lewis Plz, Greenville, SC 29605-2940 Ph: () - | 100 Chiro Livingood Fraedrich Pc Llc 8 W Lewis Plz, Greenville, SC 29605-2940 Ph: (864) 283-6014 |
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