Raiford, Philip Rufus
Raiford, Philip Rufus is an sole proprietor health care provider with primary practice located at 45 Green Hollow Rd , Danielson CT 06239-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raiford, Philip Rufus can be contacted via phone (860) 774-1255.Contact Information
Primary practice address
45 Green Hollow Rd
Danielson CT 06239-3509
Phone: (860) 774-1255
Fax: (860) 779-2059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 031486 | Connecticut |
Profile Details
| NPI number | 1962487983 |
|---|---|
| LBN Legal business name | Raiford, Philip Rufus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jan 25th, 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 | 1962487983 | NPPES |
| Connecticut | MEDICAID | 001314864 |
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