Provider Demographics
NPI:1164516787
Name:RAGGIO, ARTHUR G (DC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:G
Last Name:RAGGIO
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 1:1435 E. VENICE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-3074
Mailing Address - Country:US
Mailing Address - Phone:941-488-5077
Mailing Address - Fax:941-488-8896
Practice Address - Street 1:1435 E. VENICE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3074
Practice Address - Country:US
Practice Address - Phone:941-488-5077
Practice Address - Fax:941-488-8896
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70114OtherBCBS
FLE7861YMedicare ID - Type Unspecified