Larry Fredric Radke in Lake City - Chiropractor
Larry Fredric Radke - NPI 1649481052
Larry Fredric Radke is a Chiropractor in Lake City, Florida. Larry Fredric Radke practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry Fredric Radke is 1649481052. The last update date is 2007-07-08.
Larry Fredric Radke's current location address is 430 Sw Columbia Ave, Lake City, Florida. You can contact this provider via phone number 3867522252 and fax number 3867545088. The mailing address for Larry Fredric Radke is 430 Sw Columbia Ave, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Fredric Radke |
|---|---|
| Address | 430 Sw Columbia Ave, Lake City, Florida |
| Phone Number | 3867522252 |
| Fax Number | 3867545088 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1649481052 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 430 Sw Columbia Ave |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320255254 |
| Phone Number | 3867522252 |
| Fax Number | 3867545088 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0002067 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89714 | FL | BLUECROSS BLUESHIELD PROV |
Post Comment/ Review Below
What is the Larry Fredric Radke's 1649481052?
The Larry Fredric Radke's NPI (National Provider Identifier) Number is 1649481052. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Larry Fredric Radke's facilities are geographically located?
The facilities of Larry Fredric Radke are physically situated at the following location: 430 Sw Columbia Ave, Lake City, FL, 320255254.
What is Larry Fredric Radke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Fredric Radke is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When was the Larry Fredric Radke's 1649481052 issued?
The Larry Fredric Radke's 1649481052 was issued on 2007-05-25.
As of what date was the information pertaining to Larry Fredric Radke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Fredric Radke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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