Nathan, Annette Raquel

Nathan, Annette Raquel is an sole proprietor health care provider with primary practice located at 100 Medical Center Way Springfield Regional Medical Center, Springfield OH 45505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Nathan, Annette Raquel can be contacted via phone (937) 523-1401.

Contact Information

Primary practice address
100 Medical Center Way Springfield Regional Medical Center Springfield OH 45505
Phone: (937) 523-1401
Fax: (937) 523-1950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.064717 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3564717 Ohio

Profile Details

NPI number 1164486825
LBN Legal business name Nathan, Annette Raquel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Sep 6th, 2013 - about 11 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 1164486825 NPPES
Ohio Other 000000017028 ANTHEM
Ohio MEDICAID 0924914 ANTHEM

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