Wynn, Raymond B.
Wynn, Raymond B. is an sole proprietor health care provider with primary practice located at 2500 West 12Th Street Upmc Regional Cancer Center, Erie PA 16505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wynn, Raymond B. can be contacted via phone (708) 635-9133.Contact Information
Primary practice address
2500 West 12Th Street Upmc Regional Cancer Center
Erie PA 16505
Phone: (708) 635-9133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD438611 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036142602 | Illinois |
Profile Details
| NPI number | 1548216195 |
|---|---|
| LBN Legal business name | Wynn, Raymond B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 7th, 2020 - about 5 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 | 1548216195 | NPPES |
| Alabama | Other | 051542649 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | MEDICAID | 276857700 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | MEDICAID | 009934193 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | MEDICAID | 1023982380001 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | Other | 3600240 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | MEDICAID | 00118037 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | Other | 51531394 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | Other | 51593896 | BCBS - ONE INFIRMARY CIRCLE |
| Alabama | Other | 2117379 | BCBS - ONE INFIRMARY CIRCLE |
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