Shaver, Raymond Todd

Shaver, Raymond Todd is an individual health care provider with primary practice located at 4421 Junction Park Drive Suite 100, Wilmington NC 28412-2263. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Pediatric Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Shaver, Raymond Todd can be contacted via phone (910) 452-5555.

Contact Information

Primary practice address
4421 Junction Park Drive Suite 100 Wilmington NC 28412-2263
Phone: (910) 452-5555
Fax: (910) 452-5044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1781 North Carolina
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 1781 North Carolina

Profile Details

NPI number 1871690222
LBN Legal business name Shaver, Raymond Todd
Credentials DC DICCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 6th, 2014 - about 10 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 1871690222 NPPES
North Carolina Other 2446941B MEDICARE GROUP PROVIDER PTAN
North Carolina MEDICAID 890877B MEDICARE GROUP PROVIDER PTAN
North Carolina Other 0877B MEDICARE GROUP PROVIDER PTAN
North Carolina Other 2446941A MEDICARE GROUP PROVIDER PTAN

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