Mote, David Russell
Mote, David Russell is an sole proprietor health care provider with primary practice located at 3111 Boynton Beach Blvd Suite 200, Boynton Beach FL 33436-4500. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mote, David Russell can be contacted via phone (561) 742-3283.Contact Information
Primary practice address
3111 Boynton Beach Blvd Suite 200
Boynton Beach FL 33436-4500
Phone: (561) 742-3283
Fax: (561) 742-3280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0006242 | Florida |
Profile Details
| NPI number | 1619941234 |
|---|---|
| LBN Legal business name | Mote, David Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619941234 | NPPES |
| Florida | MEDICAID | 380849100 | |
| Florida | Other | 22533 | |
| Florida | Other | 603595500 |
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