Ray, Linda Lou

Ray, Linda Lou is an individual health care provider with primary practice located at 2012 Pleasant Valley Rd , Fairmont WV 26554-9295. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ray, Linda Lou can be contacted via phone (304) 368-0342.

Contact Information

Primary practice address
2012 Pleasant Valley Rd Fairmont WV 26554-9295
Phone: (304) 368-0342
Fax: (304) 368-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2872 West Virginia

Profile Details

NPI number 1124119938
LBN Legal business name Ray, Linda Lou
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 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 1124119938 NPPES
West Virginia MEDICAID 0132464000

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