Gingery, Robben Raines

Gingery, Robben Raines is an sole proprietor health care provider with primary practice located at 3188 Southern Blvd Se Suite B1, Rio Rancho NM 87124-1990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Gingery, Robben Raines can be contacted via phone (505) 200-9158.

Contact Information

Primary practice address
3188 Southern Blvd Se Suite B1 Rio Rancho NM 87124-1990
Phone: (505) 200-9158
Fax: (505) 200-9497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 91-207 New Mexico
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 91-207 New Mexico

Profile Details

NPI number 1255422101
LBN Legal business name Gingery, Robben Raines
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jun 15th, 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 1255422101 NPPES
New Mexico MEDICAID E0179

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