Ray, Brian David

Ray, Brian David is an individual health care provider with primary practice located at 400 S. Blairsferry Crossing Suite A, Hiawatha IA 52233-7988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ray, Brian David can be contacted via phone (319) 393-0783.

Contact Information

Primary practice address
400 S. Blairsferry Crossing Suite A Hiawatha IA 52233-7988
Phone: (319) 393-0783
Fax: (319) 393-0427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7651 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3734 Iowa

Profile Details

NPI number 1528029501
LBN Legal business name Ray, Brian David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 1st, 2011 - about 15 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 1528029501 NPPES
Iowa Other P00708643 RR MEDICARE
Iowa MEDICAID 1528029501 RR MEDICARE

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