Tan, Raymundo T

Tan, Raymundo T is an individual health care provider with primary practice located at 419 5Th St Ne , Jamestown ND 58401-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tan, Raymundo T can be contacted via phone (701) 252-1050.

Contact Information

Primary practice address
419 5Th St Ne Jamestown ND 58401-3300
Phone: (701) 252-1050
Fax: (701) 952-3265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4669 North Dakota

Profile Details

NPI number 1700869229
LBN Legal business name Tan, Raymundo T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 6th, 2008 - about 16 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 1700869229 NPPES
North Dakota MEDICAID 18514
North Dakota Other 01008891
North Dakota Other 16-11656
North Dakota MEDICAID 7207820
North Dakota Other 47607
North Dakota Other 13243
North Dakota Other 46031641458401C003
North Dakota Other 719609

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