Raygada, Jose Luis
Raygada, Jose Luis is an individual health care provider with primary practice located at 4641 E Pickard St Ste A , Mt Pleasant MI 48858-2189. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Raygada, Jose Luis can be contacted via phone (989) 948-4863.Contact Information
Primary practice address
4641 E Pickard St Ste A
Mt Pleasant MI 48858-2189
Phone: (989) 948-4863
Fax: (989) 215-6501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301083444 | Michigan |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 5315042575 | Michigan |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301083444 | Michigan |
Profile Details
NPI number | 1063623981 |
---|---|
LBN Legal business name | Raygada, Jose Luis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | May 30th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063623981 | NPPES |
Michigan | Other | 1103700032 | BCBSM |
Michigan | Other | 1051580 | BCBSM |
Michigan | Other | 200000021994 | BCBSM |
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