Sturdevant, Ray C
Sturdevant, Ray C is an individual health care provider with primary practice located at 2800 Pierce St Suite 207, Sioux City IA 51104-3755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sturdevant, Ray C can be contacted via phone (712) 255-8901.Contact Information
Primary practice address
2800 Pierce St Suite 207
Sioux City IA 51104-3755
Phone: (712) 255-8901
Fax: (712) 255-9161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19856 | Iowa |
Profile Details
| NPI number | 1326045808 |
|---|---|
| LBN Legal business name | Sturdevant, Ray C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Apr 27th, 2017 - about 7 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 | 1326045808 | NPPES |
| Iowa | MEDICAID | 0128470 |
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