Provider Demographics
NPI:1245539246
Name:BILLS, CHAD EDWARD (DC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:EDWARD
Last Name:BILLS
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 1:305 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2613
Mailing Address - Country:US
Mailing Address - Phone:803-520-4615
Mailing Address - Fax:803-520-4617
Practice Address - Street 1:305 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2613
Practice Address - Country:US
Practice Address - Phone:803-520-4615
Practice Address - Fax:803-520-4617
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor