Raymond, Michael Lee
Raymond, Michael Lee is an individual health care provider with primary practice located at 3121 Spring Valley Rd , Oshkosh WI 54904-8809. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Pediatrics, Nursing Service Providers / School. Nursing Service Providers / General Practice is his primary health care specialty. Raymond, Michael Lee can be contacted via phone (920) 420-8377.Contact Information
Primary practice address
3121 Spring Valley Rd
Oshkosh WI 54904-8809
Phone: (920) 420-8377
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / General Practice | 163WG0000X | Wisconsin | |
Nursing Service Providers / Pediatrics | 163WP0200X | Wisconsin | |
Nursing Service Providers / School | 163WS0200X | Wisconsin |
Profile Details
NPI number | 1093776999 |
---|---|
LBN Legal business name | Raymond, Michael Lee |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1093776999 | NPPES |
Wisconsin | MEDICAID | 38335100 |
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