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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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