Wise, Ray Norman
Wise, Ray Norman is an sole proprietor health care provider with primary practice located at 303 E Walnut St , Lebanon PA 17042-5648. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wise, Ray Norman can be contacted via phone (717) 273-7162.Contact Information
Primary practice address
303 E Walnut St
Lebanon PA 17042-5648
Phone: (717) 273-7162
Fax: (717) 273-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DSO15738L | Pennsylvania |
Profile Details
| NPI number | 1740402981 |
|---|---|
| LBN Legal business name | Wise, Ray Norman |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740402981 | NPPES |
| Pennsylvania | Other | 61777 | UNITED CONCORDIA |
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