Doctor Name: | DR. ALFREDO VALLEJO |
NPI Number: | 1669897641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 2715 |
Business Practice Address: | 2427 Fish Hatchery Rd West Columbia, SC - 291722093 |
Business Phone Number: | 8039390785 |
Business Fax Number: | 8039390787 |
Mailing Address: | Po Box 1771, COLUMBIA |
State: | SC |
Postal Code: | 292021771 |
Phone Number: | 8039390785 |
Fax Number: | 8039390787 |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2715 |
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. |