Raley, James A

Raley, James A is an individual health care provider with primary practice located at 150 Walton Ave , Bowling Green KY 42104. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Raley, James A can be contacted via phone (270) 781-1923.

Contact Information

Primary practice address
150 Walton Ave Bowling Green KY 42104
Phone: (270) 781-1923
Fax: (270) 843-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1462DT Kentucky

Profile Details

NPI number 1902961089
LBN Legal business name Raley, James A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1902961089 NPPES
Kentucky MEDICAID 77000248

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