Ravener, Paul David
Ravener, Paul David is an sole proprietor health care provider with primary practice located at 298 Canal Rd. , Port Jefferson Station NY 11776-3020. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ravener, Paul David can be contacted via phone (631) 928-0192.Contact Information
Primary practice address
298 Canal Rd.
Port Jefferson Station NY 11776-3020
Phone: (631) 928-0192
Fax: (631) 928-0253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3502 | New York |
Profile Details
| NPI number | 1104916998 |
|---|---|
| LBN Legal business name | Ravener, Paul David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Oct 6th, 2015 - about 9 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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