Raycraft, Edmund William

Raycraft, Edmund William is an individual health care provider with primary practice located at 304 W Hay St Suite 111, Decatur IL 62526-6328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Raycraft, Edmund William can be contacted via phone (217) 872-8200.

Contact Information

Primary practice address
304 W Hay St Suite 111 Decatur IL 62526-6328
Phone: (217) 872-8200
Fax: (217) 872-4898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036079689 Illinois

Profile Details

NPI number 1194725077
LBN Legal business name Raycraft, Edmund William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 8th, 2010 - about 15 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 1194725077 NPPES
Illinois Other 131595 HEALTHLINK
Illinois MEDICAID 036079689 HEALTHLINK
Illinois Other P00273351 HEALTHLINK
Illinois Other 005832071 HEALTHLINK
Illinois Other 5574560001 HEALTHLINK

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