Luiz Eduardo Campos X, D.C.

Individual provider Active NPI Chiropractor · Taylors, SC

NPI 1902280282 · NPPES record last updated Jul 16, 2015

Key facts

NPI
1902280282
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
4053 (SC)
Practice address
3 Mountain Chase
Taylors, SC 29687-6517
Phone
(864) 921-6494
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4053SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brake Chiropractic PA Chiropractor Current
since Nov 16, 2015
Accepting new patients

Locations

4010 E North St
Ste 1
Greenville, SC 29615
Phone (864) 292-2503

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4053 SC Yes

Addresses

Primary practice location

3 Mountain Chase
Taylors, SC 29687-6517

Mailing address

3 Mountain Chase
Taylors, SC 29687-6517
Phone (864) 921-6494

Other providers in Taylors, SC

All providers in Taylors, SC · Chiropractor in South Carolina

Sources for this page

Verify at the official NPI Registry.