Rayburn, Justice Mykel

Rayburn, Justice Mykel is an sole proprietor health care provider with primary practice located at 1661 Valley Dr , Syracuse NY 13207-2853. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Rayburn, Justice Mykel can be contacted via phone (315) 246-3989.

Contact Information

Primary practice address
1661 Valley Dr Syracuse NY 13207-2853
Phone: (315) 246-3989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 579482489
Other Service Providers / Driver 172A00000X 579482489 New York

Profile Details

NPI number 1528712668
LBN Legal business name Rayburn, Justice Mykel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - about 2 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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