Bandy, Raymond L.
Bandy, Raymond L. is an individual health care provider with primary practice located at 628 Hospital Dr Ste 3-E , Mountain Home AR 72653-2937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bandy, Raymond L. can be contacted via phone (870) 508-7450.Contact Information
Primary practice address
628 Hospital Dr Ste 3-E
Mountain Home AR 72653-2937
Phone: (870) 508-7450
Fax: (870) 508-7768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | E-5041 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-5041 | Arkansas |
Profile Details
| NPI number | 1265411318 |
|---|---|
| LBN Legal business name | Bandy, Raymond L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | May 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265411318 | NPPES |
| Arkansas | MEDICAID | 163547001 |
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