Rayburn, Jack

Rayburn, Jack is an individual health care provider with primary practice located at 421 E Hickory St , Mankato MN 56001-2635. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Rayburn, Jack can be contacted via phone (507) 387-1666.

Contact Information

Primary practice address
421 E Hickory St Mankato MN 56001-2635
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1962126920
LBN Legal business name Rayburn, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2022
Last updated Oct 3rd, 2022 - 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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