Croissant, Raymond Charles
Croissant, Raymond Charles is an sole proprietor health care provider with primary practice located at 6533 Drew Ave S , Edina MN 55435-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Croissant, Raymond Charles can be contacted via phone (952) 927-7138.Contact Information
Primary practice address
6533 Drew Ave S
Edina MN 55435-2103
Phone: (952) 927-7138
Fax: (952) 924-4021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 19945 | Minnesota |
Profile Details
| NPI number | 1083698419 |
|---|---|
| LBN Legal business name | Croissant, Raymond Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Oct 24th, 2011 - about 13 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 | 1083698419 | NPPES |
| Minnesota | MEDICAID | 166865000 |
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