Raynor, Gary Wayne

Raynor, Gary Wayne is an individual health care provider with primary practice located at 132 Poplar Grove Connector Suite B, Boone NC 28607-5915. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Raynor, Gary Wayne can be contacted via phone (828) 264-8759.

Contact Information

Primary practice address
132 Poplar Grove Connector Suite B Boone NC 28607-5915
Phone: (828) 264-8759
Fax: (828) 262-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001467 North Carolina

Profile Details

NPI number 1609844521
LBN Legal business name Raynor, Gary Wayne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 9th, 2007 - about 18 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 1609844521 NPPES
North Carolina MEDICAID 6003624
North Carolina Other 70669
North Carolina Other N/A
North Carolina Other 2063647
North Carolina Other 87927

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