Healthcare Provider Details

I. General information

NPI: 1750304325
Provider Name (Legal Business Name): ERIC PIERCE BASSETT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 DANIEL ELLIS DR STE 3B
CHARLESTON SC
29412-3097
US

IV. Provider business mailing address

776 DANIEL ELLIS DR STE 3B
CHARLESTON SC
29412-3097
US

V. Phone/Fax

Practice location:
  • Phone: 843-795-3456
  • Fax: 843-795-3451
Mailing address:
  • Phone: 437-953-4568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberSC2389
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: