Ray, Steven A

Ray, Steven A is an individual health care provider with primary practice located at 2560 24Th St Ste 202, Rock Island IL 61201-5390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ray, Steven A can be contacted via phone (309) 794-0590.

Contact Information

Primary practice address
2560 24Th St Ste 202 Rock Island IL 61201-5390
Fax: (309) 779-3084
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-072047 Illinois

Profile Details

NPI number 1780680736
LBN Legal business name Ray, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 21st, 2021 - about 3 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 1780680736 NPPES
Other 020379 HEALTH ALLIANCE
Other 4796890015 HEALTH ALLIANCE
Other 20076 HEALTH ALLIANCE
Other 97781 HEALTH ALLIANCE
Other IA0151 HEALTH ALLIANCE
MEDICAID 036072047 HEALTH ALLIANCE

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