Raines, Jeffrey L.
Raines, Jeffrey L. is an individual health care provider with primary practice located at 14500 99Th Ave N , Maple Grove MN 55369-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raines, Jeffrey L. can be contacted via phone (763) 898-1520.Contact Information
Primary practice address
14500 99Th Ave N
Maple Grove MN 55369-4730
Phone: (763) 898-1520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 44383 | Minnesota |
Profile Details
| NPI number | 1366550923 |
|---|---|
| LBN Legal business name | Raines, Jeffrey L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 25th, 2012 - about 14 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 | 1366550923 | NPPES |
| Minnesota | Other | 0702163 | MEDICA |
| Minnesota | Other | 1493817 | MEDICA |
| Minnesota | Other | 7760362 | MEDICA |
| Minnesota | Other | 50G94RA | MEDICA |
| Minnesota | Other | 1029424 | MEDICA |
| Minnesota | Other | 141532 | MEDICA |
| Minnesota | MEDICAID | 382151000 | MEDICA |
| Minnesota | Other | HP34719 | MEDICA |
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