Healthcare Provider Details

I. General information

NPI: 1336118165
Provider Name (Legal Business Name): ZIPP HEALTHCARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N GUM ST
SUMMERVILLE SC
29483-6870
US

IV. Provider business mailing address

306 N GUM ST
SUMMERVILLE SC
29483-6870
US

V. Phone/Fax

Practice location:
  • Phone: 843-873-2522
  • Fax:
Mailing address:
  • Phone: 843-873-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2743
License Number StateSC

VIII. Authorized Official

Name: DR. JOHN ZIPP
Title or Position: CHIROPRACTOR,OWNER
Credential: D.C.
Phone: 843-873-2522