Radway, Paul Raymond
Radway, Paul Raymond is an individual health care provider with primary practice located at 3506 San Jose Ct , Pueblo CO 81005-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Radway, Paul Raymond can be contacted via phone (719) 252-6467.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20508 | Colorado |
Profile Details
NPI number | 1023056173 |
---|---|
LBN Legal business name | Radway, Paul Raymond |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Feb 27th, 2015 - about 9 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 | 1023056173 | NPPES |
Colorado | MEDICAID | 02974278 |
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