Baddour, Raymond Joseph

Baddour, Raymond Joseph is an sole proprietor health care provider with primary practice located at 370 Cline Ave Ste C5, Mansfield OH 44907-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baddour, Raymond Joseph can be contacted via phone (419) 756-6990.

Contact Information

Primary practice address
370 Cline Ave Ste C5 Mansfield OH 44907-1057
Phone: (419) 756-6990
Fax: (419) 756-0944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-078415 Ohio

Profile Details

NPI number 1508875634
LBN Legal business name Baddour, Raymond Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jan 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508875634 NPPES
Ohio Other 606176800 DEPT OF LABOR ID#
Ohio Other 30022664 DEPT OF LABOR ID#
Ohio Other 341934892001 DEPT OF LABOR ID#
Ohio MEDICAID 2877801 DEPT OF LABOR ID#
Ohio Other 000000182209 DEPT OF LABOR ID#

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