Raque, James D.

Raque, James D. is an individual health care provider with primary practice located at 149 North Street , Waterville ME 04901-4974. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Raque, James D. can be contacted via phone (207) 873-0729.

Contact Information

Primary practice address
149 North Street Waterville ME 04901-4974
Phone: (207) 873-0729
Fax: (207) 873-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 42012 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 017660 Maine
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 017660 Maine

Profile Details

NPI number 1043222334
LBN Legal business name Raque, James D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 15th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043222334 NPPES
Colorado MEDICAID 50973550
Colorado MEDICAID 1043222334

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