Ray, John D

Ray, John D is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ray, John D can be contacted via phone (812) 353-9515.

Contact Information

Primary practice address
601 W 2Nd St Bloomington IN 47403-2317
Fax: (812) 353-9275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01041255A Indiana

Profile Details

NPI number 1326074303
LBN Legal business name Ray, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326074303 NPPES
Indiana MEDICAID 100338980
Indiana Other 01041255B
Indiana Other 01041255A

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