Robert J Crockford, DC
Individual provider Active NPI Chiropractor · Duncan, SC
NPI 1457544959 · NPPES record last updated Oct 28, 2010
Key facts
- NPI
- 1457544959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3281 (SC)
- Practice address
- 123 W Main St
Duncan, SC 29334-9369 - Phone
- (864) 949-5550
- Fax
- (864) 949-5551
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3281 | SC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3281 | SC | Yes |
Addresses
Primary practice location
123 W Main St
Duncan, SC 29334-9369
Mailing address
68 Global Dr
Suite 100
Greenville, SC 29607-4628
Phone (864) 644-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3281 | Medicaid | SC |
Other providers in Duncan, SC
- Elizabeth Ann Chapman
- Chiropractic Associates
- Chronic Health Solutions LLC
- Covenant Care Solutions, LLC
- Lori L Crawford
- Laura Elaine Curry
- Lacey Davis
- Naporsha Davis
- Destination Dental LLC
- Destination Dental of Duncan LLC
All providers in Duncan, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.