Edelson, Renny M.

Edelson, Renny M. is an sole proprietor health care provider with primary practice located at 7668 S.W. 60Th Avenue Suite 500, Ocala FL 34476-6404. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Edelson, Renny M. can be contacted via phone (352) 351-2872.

Contact Information

Primary practice address
7668 S.W. 60Th Avenue Suite 500 Ocala FL 34476-6404
Fax: (352) 351-0003
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH5257 Florida

Profile Details

NPI number 1740222710
LBN Legal business name Edelson, Renny M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Aug 27th, 2016 - about 8 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 1740222710 NPPES
Florida Other 70832 BCBS
Florida MEDICAID 381072100 BCBS

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