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
Fax: (216) 261-4964
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689661118 NPPES
Ohio MEDICAID 2135915

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