Ray, Joanne T

Ray, Joanne T is an sole proprietor health care provider with primary practice located at 2101 Jackson St Suite 204, Anderson IN 46016-4388. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ray, Joanne T can be contacted via phone (765) 642-8025.

Contact Information

Primary practice address
2101 Jackson St Suite 204 Anderson IN 46016-4388
Fax: (765) 642-8623
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01027454A Indiana

Profile Details

NPI number 1750321907
LBN Legal business name Ray, Joanne T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jan 7th, 2015 - about 11 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 1750321907 NPPES
Indiana MEDICAID 100170720A

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