Depa, Raymond
Depa, Raymond is an individual health care provider with primary practice located at 1140 Lexington Rd , Georgetown KY 40324-9330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Depa, Raymond can be contacted via phone (502) 868-1100.Contact Information
Primary practice address
1140 Lexington Rd
Georgetown KY 40324-9330
Phone: (502) 868-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02820 | Kentucky |
Profile Details
| NPI number | 1255323911 |
|---|---|
| LBN Legal business name | Depa, Raymond |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 16th, 2015 - about 11 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 | 1255323911 | NPPES |
| Kentucky | MEDICAID | 64079395 |
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