Corona, Raynold James

Corona, Raynold James is an individual health care provider with primary practice located at 5131 Odonovan Dr Ste 100 , Baton Rouge LA 70808-4791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Corona, Raynold James can be contacted via phone (225) 767-4893.

Contact Information

Primary practice address
5131 Odonovan Dr Ste 100 Baton Rouge LA 70808-4791
Fax: (225) 767-5494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD.025313 Louisiana

Profile Details

NPI number 1790782068
LBN Legal business name Corona, Raynold James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 29th, 2022 - about 2 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 1790782068 NPPES
Louisiana MEDICAID 1575143

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