Bannan, Raymond Anthony

Bannan, Raymond Anthony is an sole proprietor health care provider with primary practice located at 2101 Jacob St. Suite 201 Valley Prof Center South, Wheeling WV 26003-6390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bannan, Raymond Anthony can be contacted via phone (304) 242-9245.

Contact Information

Primary practice address
2101 Jacob St. Suite 201 Valley Prof Center South Wheeling WV 26003-6390
Fax: (304) 242-6870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16474 West Virginia

Profile Details

NPI number 1548328875
LBN Legal business name Bannan, Raymond Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Feb 18th, 2020 - about 5 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 1548328875 NPPES
West Virginia MEDICAID 0095458000
West Virginia Other DG8768
West Virginia Other 180012368

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