Pastor, Raimundo

Pastor, Raimundo is an individual health care provider with primary practice located at 28080 Grand River Ave Suite 204 N, Farmington Hills MI 48336-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pastor, Raimundo can be contacted via phone (248) 478-7767.

Contact Information

Primary practice address
28080 Grand River Ave Suite 204 N Farmington Hills MI 48336-5966
Phone: (248) 478-7767
Fax: (248) 478-5727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 011973 Michigan

Profile Details

NPI number 1780796078
LBN Legal business name Pastor, Raimundo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 14th, 2014 - 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 1780796078 NPPES
Michigan Other 0256304795 BLUE CROSS OF MI
Michigan MEDICAID 3456280 BLUE CROSS OF MI
Michigan Other OM65150 BLUE CROSS OF MI

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