Taitano, John Ray
Taitano, John Ray is an individual health care provider with primary practice located at 851 Governor Carlos Camacho Road , Tamuning GU 96913-3153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Taitano, John Ray can be contacted via phone (671) 300-0840.Contact Information
Primary practice address
851 Governor Carlos Camacho Road
Tamuning GU 96913-3153
Phone: (671) 300-0840
Fax: (671) 647-0832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M675 | Guam |
Profile Details
| NPI number | 1740336247 |
|---|---|
| LBN Legal business name | Taitano, John Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1740336247 | NPPES |
| Guam | Other | M675 | GUAM BOARD OF MEDICAL EXAMINERS LICENSURE |
| Guam | MEDICAID | 611 | GUAM BOARD OF MEDICAL EXAMINERS LICENSURE |
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