Rabideau, Raymond P

Rabideau, Raymond P is an individual health care provider with primary practice located at 1310 Wisconsin Ave Suite 301, Grand Haven MI 49417-2472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rabideau, Raymond P can be contacted via phone (616) 847-1860.

Contact Information

Primary practice address
1310 Wisconsin Ave Suite 301 Grand Haven MI 49417-2472
Phone: (616) 847-1860
Fax: (616) 844-4537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008662 Michigan

Profile Details

NPI number 1356345698
LBN Legal business name Rabideau, Raymond P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 4th, 2016 - about 10 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 1356345698 NPPES
Michigan MEDICAID 11-5197731

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