Clites, Raymond Dale
Clites, Raymond Dale is an sole proprietor health care provider with primary practice located at 2119 W Brandon Blvd , Brandon FL 33511-4731. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clites, Raymond Dale can be contacted via phone (813) 684-1648.Contact Information
Primary practice address
2119 W Brandon Blvd
Brandon FL 33511-4731
Phone: (813) 684-1648
Fax: (813) 684-1748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 4571 | Florida |
Profile Details
| NPI number | 1942275623 |
|---|---|
| LBN Legal business name | Clites, Raymond Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 16th, 2012 - about 14 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 | 1942275623 | NPPES |
| Florida | MEDICAID | 380271000 |
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