Ray, Debra R

Ray, Debra R is an individual health care provider with primary practice located at 500 S 11Th Ave Suite 305, Pocatello ID 83201-4835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ray, Debra R can be contacted via phone (208) 233-5864.

Contact Information

Primary practice address
500 S 11Th Ave Suite 305 Pocatello ID 83201-4835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-419 Idaho

Profile Details

NPI number 1730149865
LBN Legal business name Ray, Debra R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 11th, 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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