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Dr. Charles Jonathan Raley, DC
Chiropractor in Crestview, Florida
NPI 1427110337

Charles Jonathan Raley is a Chiropractor based in Crestview, FL. Charles Jonathan Raley practices in Crestview, FL and has the professional credentials of DC. The NPI Number for Charles Jonathan Raley is 1427110337 and holds a License No. CH8874 (Florida).

The current practice location address for Charles Jonathan Raley is 924 N Ferdon Blvd, Crestview, FL and can be reached out via phone at 850-682-3352 and via fax at 850-682-3352.

Location: 924 N Ferdon Blvd, Crestview, FL, 32536-1706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427110337
Provider Name
Charles Jonathan Raley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
924 N Ferdon Blvd, Crestview, FL, 32536-1706
Phone Number
850-682-3352
Fax Number
850-682-3352
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70054 01 FL BLUE CROSS NON-PART. #
CH8874 01 FL FL STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
924 N Ferdon Blvd
City
Crestview
State
Florida
Zip
32536-1706
Phone Number
850-682-3352
Fax Number
850-682-3352
person
Provider Business Mailing Address Details
Address
924 N Ferdon Blvd
City
Crestview
State
Florida
Zip
32536-1706
Phone Number
850-682-3352
Fax Number
850-682-3352
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH8874 (Florida)
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 interrelationship with other body systems.
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