Demoville, Raymond B

Demoville, Raymond B is an sole proprietor health care provider with primary practice located at 1525 Hunt Club Blvd Ste 100 , Gallatin TN 37066-6070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Demoville, Raymond B can be contacted via phone (615) 822-2177.

Contact Information

Primary practice address
1525 Hunt Club Blvd Ste 100 Gallatin TN 37066-6070
Fax: (615) 822-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD0000034182 Tennessee

Profile Details

NPI number 1699770016
LBN Legal business name Demoville, Raymond B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Feb 6th, 2023 - about last year

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 1699770016 NPPES
Tennessee MEDICAID Q030576
Tennessee Other 6123764
Tennessee Other 103I045255

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