Ray, Tom
Ray, Tom is an individual health care provider with primary practice located at 1455 E Tropicana Ave Ste 175B , Las Vegas NV 89119-6507. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Ray, Tom can be contacted via phone (702) 893-2002.Contact Information
Primary practice address
1455 E Tropicana Ave Ste 175B
Las Vegas NV 89119-6507
Phone: (702) 893-2002
Fax: (702) 369-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 2000558-062-101 | Nevada |
Profile Details
| NPI number | 1063969673 |
|---|---|
| LBN Legal business name | Ray, Tom |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Sep 1st, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063969673 | NPPES |
| Nevada | MEDICAID | 464617191 |
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