Provider Demographics
NPI:1114332996
Name:SIGNE SPINE & REHAB LLC
Entity Type:Organization
Organization Name:SIGNE SPINE & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:NEMETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-730-4124
Mailing Address - Street 1:929 BOWMAN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3237
Mailing Address - Country:US
Mailing Address - Phone:843-730-4124
Mailing Address - Fax:843-806-4295
Practice Address - Street 1:929 BOWMAN RD STE 400
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-730-4124
Practice Address - Fax:843-806-4295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD37319208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty