Raque, George H
Raque, George H is an individual health care provider with primary practice located at 210 E Gray St Ste 1105, Louisville KY 40202-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Raque, George H can be contacted via phone (502) 583-1697.Contact Information
Primary practice address
210 E Gray St Ste 1105
Louisville KY 40202-3900
Phone: (502) 583-1697
Fax: (502) 583-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 23410 | Kentucky |
Profile Details
| NPI number | 1952394157 |
|---|---|
| LBN Legal business name | Raque, George H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 2nd, 2016 - about 8 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 | 1952394157 | NPPES |
| Other | 00023035K | HUMANA/NNIKY | |
| Other | 000000604409 | HUMANA/NNIKY | |
| Other | 012947 | HUMANA/NNIKY | |
| Other | 64234107 | HUMANA/NNIKY | |
| Other | 012947 | HUMANA/NNIKY | |
| MEDICAID | 100373960 | HUMANA/NNIKY |
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