Ebling, Randall Lee

Ebling, Randall Lee is an sole proprietor health care provider with primary practice located at 209 W Boynton Beach Blvd , Boynton Beach FL 33435-4022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ebling, Randall Lee can be contacted via phone (561) 732-1540.

Contact Information

Primary practice address
209 W Boynton Beach Blvd Boynton Beach FL 33435-4022
Phone: (561) 732-1540
Fax: (561) 732-1540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0002361 Florida

Profile Details

NPI number 1700868171
LBN Legal business name Ebling, Randall Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Aug 11th, 2010 - 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 1700868171 NPPES
Florida MEDICAID 380563800

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