Doctor Name: | DR. BRENT SCOTT TOBIN |
NPI Number: | 1164862173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 3841 |
Business Practice Address: | 1032a Kinley Rd Irmo, SC - 290639632 |
Business Phone Number: | 8037326635 |
Business Fax Number: | |
Mailing Address: | 110 Lake Hilton Dr, CHAPIN |
State: | SC |
Postal Code: | 290367521 |
Phone Number: | 3529780250 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2013 |
NPI Last Update Date: | 07/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |