Ravencraft, James E

Ravencraft, James E is an individual health care provider with primary practice located at 2222 Winchester Ave , Ashland KY 41101-7847. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ravencraft, James E can be contacted via phone (606) 325-9644.

Contact Information

Primary practice address
2222 Winchester Ave Ashland KY 41101-7847
Phone: (606) 325-9644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA336 Kentucky

Profile Details

NPI number 1083643274
LBN Legal business name Ravencraft, James E
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated May 28th, 2020 - about 6 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 1083643274 NPPES
Kentucky MEDICAID 95003364
Kentucky Other P00847796
Kentucky Other P00847796
Kentucky Other 970009625

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