Georgen, Raymond Frank
Georgen, Raymond Frank is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Suite 410, Neenah WI 54956-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Georgen, Raymond Frank can be contacted via phone (920) 725-4527.Contact Information
Primary practice address
200 Theda Clark Medical Plz Suite 410
Neenah WI 54956-2721
Phone: (920) 725-4527
Fax: (920) 725-0991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 309901 | Wisconsin |
Profile Details
| NPI number | 1912957457 |
|---|---|
| LBN Legal business name | Georgen, Raymond Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 8th, 2008 - 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 | 1912957457 | NPPES |
| Wisconsin | MEDICAID | 31596300 |
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