Raitiere, Colin R
Raitiere, Colin R is an individual health care provider with primary practice located at 120 Enterprise Dr , Danville KY 40422-1870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Raitiere, Colin R can be contacted via phone (859) 236-2425.Contact Information
Primary practice address
120 Enterprise Dr
Danville KY 40422-1870
Phone: (859) 236-2425
Fax: (859) 757-2475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19619 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 19619 | Kentucky |
Profile Details
| NPI number | 1114998440 |
|---|---|
| LBN Legal business name | Raitiere, Colin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 30th, 2010 - about 14 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 | 1114998440 | NPPES |
| Kentucky | Other | 0000000323180 | ANTHEM BC/BS |
| Kentucky | Other | P00156824 | ANTHEM BC/BS |
| Kentucky | MEDICAID | 64196199 | ANTHEM BC/BS |
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