Raybourn, James Harrison

Raybourn, James Harrison is an individual health care provider with primary practice located at 679 E County Line Rd , Greenwood IN 46143-1049. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Raybourn, James Harrison can be contacted via phone (317) 859-7222.

Contact Information

Primary practice address
679 E County Line Rd Greenwood IN 46143-1049
Phone: (317) 859-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 01073813A Indiana

Profile Details

NPI number 1871736595
LBN Legal business name Raybourn, James Harrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Jan 19th, 2024 - about last year

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 1871736595 NPPES
Indiana MEDICAID 201227520
Indiana Other 100194370
Indiana Other 1487680518
Indiana Other 000000876695

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