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
Phone: (304) 242-9245
Fax: (304) 242-6870
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548328875 | NPPES |
| West Virginia | MEDICAID | 0095458000 | |
| West Virginia | Other | DG8768 | |
| West Virginia | Other | 180012368 |
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