Rayner, Clive B
Rayner, Clive B is an individual health care provider with primary practice located at 2301 Park Ave Suite 101, Orange Park FL 32073-5565. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Rayner, Clive B can be contacted via phone (904) 269-5195.Contact Information
Primary practice address
2301 Park Ave Suite 101
Orange Park FL 32073-5565
Phone: (904) 269-5195
Fax: (904) 269-7196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN8951 | Florida |
Profile Details
| NPI number | 1922068824 |
|---|---|
| LBN Legal business name | Rayner, Clive B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 26th, 2012 - about 12 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 | 1922068824 | NPPES |
| Florida | Other | 67978 | BCBS |
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