Dattilo, Raymond

Dattilo, Raymond is an individual health care provider with primary practice located at 600 Sw College Ave , Topeka KS 66606-1684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dattilo, Raymond can be contacted via phone (785) 233-9643.

Contact Information

Primary practice address
600 Sw College Ave Topeka KS 66606-1684
Phone: (785) 233-9643
Fax: (785) 233-6821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-22168 Kansas

Profile Details

NPI number 1710946249
LBN Legal business name Dattilo, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 20th, 2013 - about 11 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 1710946249 NPPES
Kansas Other 018237 BCBS KANSAS
Kansas Other 060020423 BCBS KANSAS
Kansas MEDICAID 100208620A BCBS KANSAS

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