Provider Demographics
NPI:1407827215
Name:WEBB, RALPH EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:EDWARD
Last Name:WEBB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7855 ARGYLE BOULEVARD
Mailing Address - Street 2:SUITE 908
Mailing Address - City:JAX
Mailing Address - State:FL
Mailing Address - Zip Code:32244
Mailing Address - Country:US
Mailing Address - Phone:904-777-9355
Mailing Address - Fax:904-777-1535
Practice Address - Street 1:7628 103RD ST
Practice Address - Street 2:STE 22
Practice Address - City:JAX
Practice Address - State:FL
Practice Address - Zip Code:32210
Practice Address - Country:US
Practice Address - Phone:904-777-9355
Practice Address - Fax:904-777-1535
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor