Davis, Randolph Clark
Davis, Randolph Clark is an sole proprietor health care provider with primary practice located at 320 Bawden St Suite 306, Ketchikan AK 99901-6503. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Davis, Randolph Clark can be contacted via phone (907) 225-6815.Contact Information
Primary practice address
320 Bawden St Suite 306
Ketchikan AK 99901-6503
Phone: (907) 225-6815
Fax: (907) 225-5767
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Rehabilitation | 111NR0400X | 149 | Alaska |
Profile Details
NPI number | 1588740674 |
---|---|
LBN Legal business name | Davis, Randolph Clark |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2006 |
Last updated | Sep 19th, 2017 - about 7 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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