Raymond, John A

Raymond, John A is an individual health care provider with primary practice located at 1465 E Parkdale Ave , Manistee MI 49660-9709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Raymond, John A can be contacted via phone (231) 723-1147.

Contact Information

Primary practice address
1465 E Parkdale Ave Manistee MI 49660-9709
Phone: (231) 723-1147
Fax: (231) 398-1427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 4301036632 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301036632 Michigan

Profile Details

NPI number 1043248396
LBN Legal business name Raymond, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 22nd, 2016 - about 8 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 1043248396 NPPES
Michigan MEDICAID 104475226

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