Justice, Raymond T

Justice, Raymond T is an sole proprietor health care provider with primary practice located at 416 E Court Ave , Jeffersonville IN 47130-3414. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Justice, Raymond T can be contacted via phone (812) 280-8620.

Contact Information

Primary practice address
416 E Court Ave Jeffersonville IN 47130-3414
Phone: (812) 280-8620
Fax: (812) 820-8621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000842A Indiana

Profile Details

NPI number 1649273491
LBN Legal business name Justice, Raymond T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Aug 3rd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649273491 NPPES
Kentucky Other 000000039643 ANTHEM
Kentucky Other 213533 ANTHEM
Kentucky Other 480026929 ANTHEM
Kentucky Other 1074442 ANTHEM
Kentucky MEDICAID 200144660B ANTHEM
Kentucky MEDICAID 80002389 ANTHEM
Kentucky Other 2435167000 ANTHEM

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