Provider Demographics
NPI:1568987535
Name:UPSTATE SPINE & HEALTH, INC.
Entity Type:Organization
Organization Name:UPSTATE SPINE & HEALTH, INC.
Other - Org Name:DEMAINE CHIROPRACTIC & REHAB CTRS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-626-4678
Mailing Address - Street 1:1066C ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2635
Mailing Address - Country:US
Mailing Address - Phone:864-626-4678
Mailing Address - Fax:864-310-6376
Practice Address - Street 1:1066C ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2635
Practice Address - Country:US
Practice Address - Phone:864-626-4678
Practice Address - Fax:864-310-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty