Berthiaume, Richard G

Berthiaume, Richard G is an sole proprietor health care provider with primary practice located at 1197 Us Highway 1 , Rockledge FL 32955-2713. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berthiaume, Richard G can be contacted via phone (321) 504-3737.

Contact Information

Primary practice address
1197 Us Highway 1 Rockledge FL 32955-2713
Fax: (321) 504-4454
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6888 Florida

Profile Details

NPI number 1073546727
LBN Legal business name Berthiaume, Richard G
Credentials B.S.,D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Feb 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073546727 NPPES
Florida MEDICAID 381141700

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