Ryan, Randolph Raymond
Ryan, Randolph Raymond is an sole proprietor health care provider with primary practice located at 21 W. Fee Ave. Suite A, Melbourne FL 32901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ryan, Randolph Raymond can be contacted via phone (321) 723-5015.Contact Information
Primary practice address
21 W. Fee Ave. Suite A
Melbourne FL 32901
Phone: (321) 723-5015
Fax: (321) 723-7389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0005773 | Florida |
Profile Details
| NPI number | 1780643452 |
|---|---|
| LBN Legal business name | Ryan, Randolph Raymond |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jan 7th, 2016 - about 8 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 | 1780643452 | NPPES |
| Florida | MEDICAID | 050580300 |
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