Heyde, Raymond R
Heyde, Raymond R is an individual health care provider with primary practice located at 400 Ne Saint Mark Ct , Peoria IL 61603-3717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Heyde, Raymond R can be contacted via phone (309) 674-1234.Contact Information
Primary practice address
400 Ne Saint Mark Ct
Peoria IL 61603-3717
Phone: (309) 674-1234
Fax: (309) 674-6422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036075507 | Illinois |
Profile Details
| NPI number | 1861484263 |
|---|---|
| LBN Legal business name | Heyde, Raymond R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 18th, 2010 - about 14 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 | 1861484263 | NPPES |
| Illinois | MEDICAID | 036075507 |
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