Petker, Lawrence Richard
Petker, Lawrence Richard is an sole proprietor health care provider with primary practice located at 50 S Perrott Dr , Ormond Beach FL 32174-6227. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petker, Lawrence Richard can be contacted via phone (386) 615-0801.Contact Information
Primary practice address
50 S Perrott Dr
Ormond Beach FL 32174-6227
Phone: (386) 615-0801
Fax: (386) 672-4811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH3821 | Florida |
Profile Details
| NPI number | 1275685281 |
|---|---|
| LBN Legal business name | Petker, Lawrence Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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