Raney, Bascom Clarence

Raney, Bascom Clarence is an individual health care provider with primary practice located at 9400 University Pkwy Suite 409, Pensacola FL 32514-5752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raney, Bascom Clarence can be contacted via phone (850) 208-6160.

Contact Information

Primary practice address
9400 University Pkwy Suite 409 Pensacola FL 32514-5752
Phone: (850) 208-6160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0051114 Florida

Profile Details

NPI number 1720083876
LBN Legal business name Raney, Bascom Clarence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 19th, 2014 - about 10 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 1720083876 NPPES
Florida Other 04161 BLUE CROSS FLORIDA
Florida Other 660034400 BLUE CROSS FLORIDA
Florida Other 010024345 BLUE CROSS FLORIDA
Florida Other 59064837 BLUE CROSS FLORIDA
Florida Other 103864 BLUE CROSS FLORIDA
Florida MEDICAID 046121100 BLUE CROSS FLORIDA

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