Raymond, Gary A
Raymond, Gary A is an individual health care provider with primary practice located at 711 Logan Blvd , Altoona PA 16602-4165. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Raymond, Gary A can be contacted via phone (814) 943-3668.Contact Information
Primary practice address
711 Logan Blvd
Altoona PA 16602-4165
Phone: (814) 943-3668
Fax: (814) 942-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC002487L | Pennsylvania |
Profile Details
| NPI number | 1942204367 |
|---|---|
| LBN Legal business name | Raymond, Gary A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942204367 | NPPES |
| Pennsylvania | MEDICAID | 0009025880006 | |
| Pennsylvania | Other | 399941327 | |
| Pennsylvania | Other | 99382 | |
| Pennsylvania | Other | 251753069 | |
| Pennsylvania | Other | 1019736 | |
| Pennsylvania | Other | RA430959 |
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