Fearing, Randy J.

Fearing, Randy J. is an sole proprietor health care provider with primary practice located at 4509 Nw 23Rd Ave Suite 6, Gainesville FL 32606-6570. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is his primary health care specialty. Fearing, Randy J. can be contacted via phone (352) 377-5158.

Contact Information

Primary practice address
4509 Nw 23Rd Ave Suite 6 Gainesville FL 32606-6570
Phone: (352) 377-5158
Fax: (352) 377-4303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2440 Florida
Chiropractic Providers / Neurology 111NN0400X CH2440 Florida

Profile Details

NPI number 1104806579
LBN Legal business name Fearing, Randy J.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jul 28th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104806579 NPPES
Florida MEDICAID 050318500
Florida Other 89904

Popular Providers