Ray, Joel W.

Ray, Joel W. is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Ste 320, Cape Girardeau MO 63703-4911. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ray, Joel W. can be contacted via phone (573) 339-0900.

Contact Information

Primary practice address
150 S Mount Auburn Rd Ste 320 Cape Girardeau MO 63703-4911
Phone: (573) 339-0900
Fax: (573) 339-1851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD113702 Missouri

Profile Details

NPI number 1922004936
LBN Legal business name Ray, Joel W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 28th, 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 1922004936 NPPES
Missouri MEDICAID 208870204

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