Provider Demographics
NPI:1215499454
Name:DE GRAAF LLC
Entity type:Organization
Organization Name:DE GRAAF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENK
Authorized Official - Middle Name:F
Authorized Official - Last Name:DE GRAAF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-644-6741
Mailing Address - Street 1:1852 HUNTSMAN DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5636
Mailing Address - Country:US
Mailing Address - Phone:803-644-6741
Mailing Address - Fax:803-642-7069
Practice Address - Street 1:1852 HUNTSMAN DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5636
Practice Address - Country:US
Practice Address - Phone:803-644-6741
Practice Address - Fax:803-642-7069
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI-COUNTY CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty