Roberts, Raymond A

Roberts, Raymond A is an sole proprietor health care provider with primary practice located at 108 Lebanon Ave , Campbellsville KY 42718-1839. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition. Chiropractic Providers / Chiropractor is his primary health care specialty. Roberts, Raymond A can be contacted via phone (270) 789-0060.

Contact Information

Primary practice address
108 Lebanon Ave Campbellsville KY 42718-1839
Phone: (270) 789-0060
Fax: (270) 465-0307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4212 Kentucky
Chiropractic Providers / Nutrition 111NN1001X 4212 Kentucky

Profile Details

NPI number 1518930742
LBN Legal business name Roberts, Raymond A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Apr 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518930742 NPPES
Kentucky MEDICAID 85000073

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