Rayburn, Leo Gene
Rayburn, Leo Gene is an sole proprietor health care provider with primary practice located at 452 W Finnie Flat Rd Suite A1, Camp Verde AZ 86322-7298. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rayburn, Leo Gene can be contacted via phone (928) 567-1757.Contact Information
Primary practice address
452 W Finnie Flat Rd Suite A1
Camp Verde AZ 86322-7298
Phone: (928) 567-1757
Fax: (928) 567-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2005 | Arizona |
Profile Details
| NPI number | 1205892007 |
|---|---|
| LBN Legal business name | Rayburn, Leo Gene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jun 20th, 2012 - about 13 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 | 1205892007 | NPPES |
| Arizona | Other | 0085000 | BLUE CROSS OF AZ |
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