Komray, Raymond Robert
Komray, Raymond Robert is an sole proprietor health care provider with primary practice located at 1365 Mercy Dr , Muskegon MI 49444-1837. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Komray, Raymond Robert can be contacted via phone (231) 739-9095.Contact Information
Primary practice address
1365 Mercy Dr
Muskegon MI 49444-1837
Phone: (231) 739-9095
Fax: (231) 739-6439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1275553513 |
|---|---|
| LBN Legal business name | Komray, Raymond Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275553513 | NPPES |
| Michigan | Other | RK039403 | BCBS REFERRING PRO ID NO. |
| Michigan | Other | 105115 | BCBS REFERRING PRO ID NO. |
| Michigan | Other | 0610450 | BCBS REFERRING PRO ID NO. |
| Michigan | MEDICAID | 1517752 | BCBS REFERRING PRO ID NO. |
| Michigan | Other | P55690 | BCBS REFERRING PRO ID NO. |
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