Raster, Robert T

Raster, Robert T is an individual health care provider with primary practice located at 403 E Madison St , South Bend IN 46617-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Raster, Robert T can be contacted via phone (574) 234-0061.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Phone: (574) 234-0061
Fax: (574) 283-1209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01045140 Indiana

Profile Details

NPI number 1417924879
LBN Legal business name Raster, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 2nd, 2009 - about 15 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 1417924879 NPPES
Indiana MEDICAID 200103420A

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