Provider Demographics
NPI:1619235793
Name:UPPER CERVICAL HEALTH CENTERS OF AMERICA
Entity Type:Organization
Organization Name:UPPER CERVICAL HEALTH CENTERS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:864-804-6886
Mailing Address - Street 1:2099 S PINE ST STE F
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3349
Mailing Address - Country:US
Mailing Address - Phone:864-804-6886
Mailing Address - Fax:864-804-6885
Practice Address - Street 1:2099 S PINE ST STE F
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3349
Practice Address - Country:US
Practice Address - Phone:864-804-6886
Practice Address - Fax:864-804-6885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty