Provider Demographics
NPI:1760779854
Name:KHARIVSKYY, NAZAR (DC)
Entity Type:Individual
Prefix:DR
First Name:NAZAR
Middle Name:
Last Name:KHARIVSKYY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-2350
Mailing Address - Country:US
Mailing Address - Phone:864-251-5678
Mailing Address - Fax:
Practice Address - Street 1:113 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-2350
Practice Address - Country:US
Practice Address - Phone:864-251-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor