Ray, Belton Craig
Ray, Belton Craig is an individual health care provider with primary practice located at 2627 Riverside Ave , Jacksonville FL 32204-4712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ray, Belton Craig can be contacted via phone (904) 308-7372.Contact Information
Primary practice address
2627 Riverside Ave
Jacksonville FL 32204-4712
Phone: (904) 308-7372
Fax: (904) 308-2998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME0013757 | Florida |
Profile Details
NPI number | 1770575052 |
---|---|
LBN Legal business name | Ray, Belton Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1770575052 | NPPES |
Florida | Other | 4047756 | AETNA |
Florida | Other | 16709 | AETNA |
Florida | Other | 2835002-001 | AETNA |
Florida | Other | 203470 | AETNA |
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