Raines, John M

Raines, John M is an individual health care provider with primary practice located at 2222 E. Highland Ave Suite 204, Phoenix AZ 85016-4876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Raines, John M can be contacted via phone (602) 257-4219.

Contact Information

Primary practice address
2222 E. Highland Ave Suite 204 Phoenix AZ 85016-4876
Fax: (602) 257-8319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11267 Arizona

Profile Details

NPI number 1629048608
LBN Legal business name Raines, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629048608 NPPES
Arizona MEDICAID 799702
Arizona MEDICAID 231283
Arizona Other AZ0819110

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