Provider Demographics
NPI:1053369736
Name:SALAMON, ROBERT JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:SALAMON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8988 UNIVERSITY BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:N. CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406
Mailing Address - Country:US
Mailing Address - Phone:843-553-9383
Mailing Address - Fax:843-553-9477
Practice Address - Street 1:8988 UNIVERSITY BLVD
Practice Address - Street 2:STE 104
Practice Address - City:N. CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:843-553-9383
Practice Address - Fax:843-553-9477
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2506111N00000X
SCCH2506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2506Medicaid
SCCH2506Medicaid