Enlakosigi, Raghavender Rao

Enlakosigi, Raghavender Rao is an individual health care provider with primary practice located at 3331 S State St , Saint Joseph MI 49085-2458. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Enlakosigi, Raghavender Rao can be contacted via phone (269) 982-1706.

Contact Information

Primary practice address
3331 S State St Saint Joseph MI 49085-2458
Phone: (269) 982-1706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1366552903
LBN Legal business name Enlakosigi, Raghavender Rao
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1366552903 NPPES
Michigan Other 5501012356 LICENSE

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