Shaker, Richard Robert

Shaker, Richard Robert is an individual health care provider with primary practice located at 3314 Henderson Blvd Ste 203, Tampa FL 33609-2998. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shaker, Richard Robert can be contacted via phone (813) 876-9552.

Contact Information

Primary practice address
3314 Henderson Blvd Ste 203 Tampa FL 33609-2998
Phone: (813) 876-9552
Fax: (813) 877-1558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6025 Florida

Profile Details

NPI number 1417931163
LBN Legal business name Shaker, Richard Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 6th, 2023 - about 3 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 1417931163 NPPES
Florida MEDICAID 381409200

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