Wray-Raabolle, Jason

Wray-Raabolle, Jason is an individual health care provider with primary practice located at 2200 Nw 26Th St , Owatonna MN 55060-5503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wray-Raabolle, Jason can be contacted via phone (507) 451-1120.

Contact Information

Primary practice address
2200 Nw 26Th St Owatonna MN 55060-5503
Phone: (507) 451-1120
Fax: (507) 444-6287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44291 Minnesota

Profile Details

NPI number 1457311102
LBN Legal business name Wray-Raabolle, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2006
Last updated Jan 7th, 2021 - about 3 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 1457311102 NPPES
Minnesota MEDICAID 347168300

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