Poliquit, Raymond E

Poliquit, Raymond E is an individual health care provider with primary practice located at 2913 Betin Ave , Monroe LA 71201-7257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Poliquit, Raymond E can be contacted via phone (318) 651-9914.

Contact Information

Primary practice address
2913 Betin Ave Monroe LA 71201-7257
Fax: (318) 410-0680
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10687R Louisiana

Profile Details

NPI number 1831202290
LBN Legal business name Poliquit, Raymond E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 2nd, 2013 - about 12 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 1831202290 NPPES
Louisiana MEDICAID 1989215

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