Provider Demographics
NPI:1316914344
Name:MCGEEHAN, RAYMOND J (DC, PA)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:MCGEEHAN
Suffix:
Gender:M
Credentials:DC, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8323 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6642
Mailing Address - Country:US
Mailing Address - Phone:727-847-4611
Mailing Address - Fax:727-842-3524
Practice Address - Street 1:8323 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6642
Practice Address - Country:US
Practice Address - Phone:727-847-4611
Practice Address - Fax:727-842-3524
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0001620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380096200Medicaid
FL380096200Medicaid