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HEALTHSOURCE OF SOUTHSIDE AIKEN
NPI 1417429374
Chiropractor in Aiken, SC

Active since December 17, 2018
550 SILVER BLUFF RD STE 200, AIKEN, SC 29803(864) 303-2679(330) 319-8842 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 2, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Healthsource Of Southside Aiken NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF SOUTHSIDE AIKEN (NPI 1417429374) is a healthcare organization registered as a chiropractor in Aiken, South Carolina and active in the NPI registry since December 2018. The organization lists Ethan Vanfossen, Owner, as its authorized official.

NPPES Registry Identity

NPI1417429374
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVANFOSSEN LLC
Location Address550 SILVER BLUFF RD STE 200Aiken, SC 29803-7835
Mailing Address2170 Pine Log RdWarrenville, SC 29851-3416 · (864) 303-2679
Phone(864) 303-2679
Fax(330) 319-8842
Organization SubpartNo
Authorized OfficialEthan VanfossenOwner · (864) 303-2679
Enumeration DateDecember 17, 2018
Last NPPES UpdateJanuary 2, 20192 updates tracked since enumeration
✔ NPI 1417429374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
550 SILVER BLUFF RD STE 200, Aiken, SC 29803
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Other Names 1

Doing Business AsHealthsource Of Southside Aiken

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE MOTLEY-JENNINGS D.C
Chiropractor
550 SILVER BLUFF RD STE 200
AIKEN, SC 29803
Aiken County (864) 303-2679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanfossen LLC's NPI number?

The NPI number for Vanfossen LLC is 1417429374. It was assigned to this organization in the NPPES registry on December 17, 2018. The provider is doing business as Healthsource Of Southside Aiken.

Where is Vanfossen LLC located?

Vanfossen LLC is located at 550 Silver Bluff Rd Ste 200, Aiken, SC 29803. The listed phone number is (864) 303-2679.

What is Vanfossen LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Vanfossen LLC was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.