Raiter, Wayne John
Raiter, Wayne John is an individual health care provider with primary practice located at 6701 Penn Ave S , Richfield MN 55423. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Raiter, Wayne John can be contacted via phone (612) 861-6129.Contact Information
Primary practice address
6701 Penn Ave S
Richfield MN 55423
Phone: (612) 861-6129
Fax: (612) 861-7589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 04044 | Minnesota |
Profile Details
| NPI number | 1730299819 |
|---|---|
| LBN Legal business name | Raiter, Wayne John |
| Credentials | MA LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730299819 | NPPES |
| Minnesota | Other | 117J5RA | BCBS |
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