Raines, John Mattox

Raines, John Mattox is an individual health care provider with primary practice located at 190 Independent Dr Ste A , Rainbow City AL 35906-3286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raines, John Mattox can be contacted via phone (256) 442-1834.

Contact Information

Primary practice address
190 Independent Dr Ste A Rainbow City AL 35906-3286
Phone: (256) 442-1834
Fax: (877) 991-4819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 417640 Alabama

Profile Details

NPI number 1679587737
LBN Legal business name Raines, John Mattox
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 13th, 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 1679587737 NPPES
Alabama Other 51519309 BLUE CROSS AND BLUE SHIEL
Alabama Other 01D0888565 BLUE CROSS AND BLUE SHIEL
Alabama MEDICAID 009938835 BLUE CROSS AND BLUE SHIEL

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