Dr. Farrel Irvin Grossman
Chiropractic Sports Physician
283 Dorchester Manor Blvd
N Charleston
, South Carolina 29420-8108
Dr. Farrel Irvin Grossman
Chiropractic Sports Physician
283 Dorchester Manor Blvd
N Charleston
, South Carolina 29420-8108
(843) 552-0093
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Farrel Irvin Grossman
- 283 Dorchester Manor Blvd
- N Charleston, SC
- Zip : 29420-8108
- Fax : (843) 552-0093
- Phone : (843) 552-8000
Second Address
- Dr. Farrel Irvin Grossman
- 283 Dorchester Manor Blvd
- N Charleston, SC
- Zip : 29420-8108
- Fax : (843) 552-0093
- Phone : (843) 552-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 1075 | SC |
National Provider Identifier
| NPI | 1336161405 |
|---|---|
| Provider Name | Dr. Farrel Irvin Grossman |
| First Address | N Charleston, SC 29420-8108 |
| Second Address | N Charleston, SC 29420-8108 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CH1075 | (02) | SC |
| GCH299 | (05) | SC |
| T24420 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.