Dark, Richard A

Dark, Richard A is an sole proprietor health care provider with primary practice located at 1 Mount Mckinley Ave , Farmingville NY 11738-2107. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Dark, Richard A can be contacted via phone (631) 736-0900.

Contact Information

Primary practice address
1 Mount Mckinley Ave Farmingville NY 11738-2107
Fax: (631) 736-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X X004836-1 New York

Profile Details

NPI number 1710069398
LBN Legal business name Dark, Richard A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1710069398 NPPES
California Other 11-2946756 LANDMARK
California Other 320250 LANDMARK
California Other 76833 LANDMARK
California Other 8983718-00 LANDMARK
California Other 0017091 LANDMARK
California Other 115137 LANDMARK
California Other 1280677 LANDMARK
California Other P647932 LANDMARK

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