Ray, Timothy C.
Ray, Timothy C. is an individual health care provider with primary practice located at 25301 Euclid Ave , Euclid OH 44117-2609. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ray, Timothy C. can be contacted via phone (216) 261-6263.Contact Information
Primary practice address
25301 Euclid Ave
Euclid OH 44117-2609
Phone: (216) 261-6263
Fax: (216) 261-4964
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-05066 | Ohio |
Profile Details
NPI number | 1689661118 |
---|---|
LBN Legal business name | Ray, Timothy C. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1689661118 | NPPES |
Ohio | MEDICAID | 2135915 |
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