NPI 1053353979 · live from the CMS NPI Registry
Bryan S Aldrich, DC
Chiropractor in Goose Creek, SC. National Provider Identifier 1053353979, active.
NPI record
| NPI | 1053353979 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 118 Springhall Dr Ste A, Goose Creek, SC 29445 |
| Practice phone | 843-735-7115 |
| Enumerated | June 12, 2006 |
| Last updated | November 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | x-008982 (NY) |
| Chiropractor primary | 111N00000X | 3134 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.