Rauck, Richard Lee

Rauck, Richard Lee is an individual health care provider with primary practice located at 145 Kimel Park Dr Suite 330, Winston Salem NC 27103-6984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Rauck, Richard Lee can be contacted via phone (336) 765-6181.

Contact Information

Primary practice address
145 Kimel Park Dr Suite 330 Winston Salem NC 27103-6984
Fax: (336) 765-8492
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 30458 North Carolina

Profile Details

NPI number 1205889938
LBN Legal business name Rauck, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 9th, 2020 - about 4 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 1205889938 NPPES
North Carolina Other 70536 BCBS
North Carolina MEDICAID 7970536 BCBS

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