Henthorn, Raymond Bruce

Henthorn, Raymond Bruce is an individual health care provider with primary practice located at 316 5Th St , Marietta OH 45750-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Henthorn, Raymond Bruce can be contacted via phone (740) 374-3556.

Contact Information

Primary practice address
316 5Th St Marietta OH 45750-3027
Phone: (740) 374-3556
Fax: (740) 374-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35 048319 Ohio
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 12681 West Virginia

Profile Details

NPI number 1720083066
LBN Legal business name Henthorn, Raymond Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Nov 24th, 2021 - about 4 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 1720083066 NPPES
West Virginia MEDICAID 0050235000
West Virginia MEDICAID 0539939

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