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

Primary practice address
3506 San Jose Ct Pueblo CO 81005-3916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023056173 NPPES
Colorado MEDICAID 02974278

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