Arciom, Mary Jo
Arciom, Mary Jo is an individual health care provider with primary practice located at 244 9Th Street , Holly Hill FL 32117. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Arciom, Mary Jo can be contacted via phone (386) 677-1212.Contact Information
Primary practice address
244 9Th Street
Holly Hill FL 32117
Phone: (386) 677-1212
Fax: (386) 872-7831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5752 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | CH5752 | Florida |
Profile Details
| NPI number | 1659476661 |
|---|---|
| LBN Legal business name | Arciom, Mary Jo |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 10th, 2014 - about 12 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 | 1659476661 | NPPES |
| Florida | MEDICAID | 05165300 | |
| Florida | Other | 22208 |
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