Raymond, Jacques Carol
Raymond, Jacques Carol is an individual health care provider with primary practice located at 294 Central Ave Fl 1, Orange NJ 07050-3414. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Raymond, Jacques Carol can be contacted via phone (973) 676-6556.Contact Information
Primary practice address
294 Central Ave Fl 1
Orange NJ 07050-3414
Phone: (973) 676-6556
Fax: (973) 676-6543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MAO7123300 | New Jersey |
Profile Details
| NPI number | 1407855984 |
|---|---|
| LBN Legal business name | Raymond, Jacques Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Sep 21st, 2018 - about 6 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 | 1407855984 | NPPES |
| New Jersey | Other | P00624016 | MEDICARE RAILROAD CARRIER |
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