Provider Demographics
NPI:1427291152
Name:SEDLOR, ROBET JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ROBET
Middle Name:JAMES
Last Name:SEDLOR
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 1:16-A NOOSENECK HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817
Mailing Address - Country:US
Mailing Address - Phone:401-397-9948
Mailing Address - Fax:401-397-6218
Practice Address - Street 1:16-A NOOSENECK HILL ROAD
Practice Address - Street 2:
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817
Practice Address - Country:US
Practice Address - Phone:401-397-9948
Practice Address - Fax:401-397-6218
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCT00581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor