Ray, Glenn W
Ray, Glenn W is an sole proprietor health care provider with primary practice located at 6252 Mahoning Avenue , Austintown OH 44515. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ray, Glenn W can be contacted via phone (330) 792-7418.Contact Information
Primary practice address
6252 Mahoning Avenue
Austintown OH 44515
Phone: (330) 792-7418
Fax: (330) 792-9092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 29480 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 18356 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 57154 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.075137 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57174 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 57174 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 57174 | Kentucky |
Profile Details
| NPI number | 1558347021 |
|---|---|
| LBN Legal business name | Ray, Glenn W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Dec 20th, 2023 - about 2 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 | 1558347021 | NPPES |
| Ohio | Other | 101308100-0001 | PENNSYLVANIA MEDICAID |
| Ohio | Other | 000000038430 | PENNSYLVANIA MEDICAID |
| Ohio | Other | 000000349348 | PENNSYLVANIA MEDICAID |
| Ohio | MEDICAID | 2223338 | PENNSYLVANIA MEDICAID |
| Ohio | Other | 101308100-0002 | PENNSYLVANIA MEDICAID |
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