Provider Demographics
NPI:1093850299
Name:PURSELL, RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:PURSELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1562
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-5562
Mailing Address - Country:US
Mailing Address - Phone:302-542-4468
Mailing Address - Fax:
Practice Address - Street 1:26B BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-2104
Practice Address - Country:US
Practice Address - Phone:302-542-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000591111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology