Ingraham, Raymond G
Ingraham, Raymond G is an individual health care provider with primary practice located at 680 Columbia Ave W Bronson Urgent Care, Battle Creek MI 49015-3028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ingraham, Raymond G can be contacted via phone (269) 965-4500.Contact Information
Primary practice address
680 Columbia Ave W Bronson Urgent Care
Battle Creek MI 49015-3028
Phone: (269) 965-4500
Fax: (269) 965-1150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704122272 | Michigan |
Profile Details
| NPI number | 1669543740 |
|---|---|
| LBN Legal business name | Ingraham, Raymond G |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Sep 16th, 2009 - about 15 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 | 1669543740 | NPPES |
| Michigan | MEDICAID | 1669543740 | |
| Michigan | Other | 500C912770 |
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