Conner, Raymond Mize
Conner, Raymond Mize is an individual health care provider with primary practice located at 1535 116Th Ave Ne Suite 100, Bellevue WA 98004-3812. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Conner, Raymond Mize can be contacted via phone (425) 455-0244.Contact Information
Primary practice address
1535 116Th Ave Ne Suite 100
Bellevue WA 98004-3812
Phone: (425) 455-0244
Fax: (425) 455-9411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18214 | Washington |
Profile Details
| NPI number | 1073558763 |
|---|---|
| LBN Legal business name | Conner, Raymond Mize |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Dec 29th, 2010 - about 14 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 | 1073558763 | NPPES |
| Washington | MEDICAID | 000120813 |
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