Vanderwerf, Raymond Mcready Travis
Vanderwerf, Raymond Mcready Travis is an sole proprietor health care provider with primary practice located at 1630 S Stapley Dr #208, Mesa AZ 85204-6657. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Vanderwerf, Raymond Mcready Travis can be contacted via phone (480) 775-2656.Contact Information
Primary practice address
1630 S Stapley Dr #208
Mesa AZ 85204-6657
Phone: (480) 775-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 2117 | Arizona |
Profile Details
| NPI number | 1013126101 |
|---|---|
| LBN Legal business name | Vanderwerf, Raymond Mcready Travis |
| Credentials | DDS, CAGS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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