Raines, Timothy Grant
Raines, Timothy Grant is an sole proprietor health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61603-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Raines, Timothy Grant can be contacted via phone (309) 655-2268.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61603-3133
Phone: (309) 655-2268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01064696A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 125-049400 | Illinois |
Profile Details
| NPI number | 1932305182 |
|---|---|
| LBN Legal business name | Raines, Timothy Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Feb 17th, 2022 - about 4 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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