Raeder, John
Raeder, John is an individual health care provider with primary practice located at 18653 Wedge Pkwy Suite 110, Reno NV 89511-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raeder, John can be contacted via phone (775) 352-7201.Contact Information
Primary practice address
18653 Wedge Pkwy Suite 110
Reno NV 89511-3323
Phone: (775) 352-7201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 761 | Nevada |
Profile Details
| NPI number | 1760480461 |
|---|---|
| LBN Legal business name | Raeder, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760480461 | NPPES |
| Nevada | MEDICAID | 100510794 |
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