Rayborn, Jeffrey M

Rayborn, Jeffrey M is an individual health care provider with primary practice located at 9000 N Main St Suite 227, Dayton OH 45415-1180. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rayborn, Jeffrey M can be contacted via phone (513) 631-0763.

Contact Information

Primary practice address
9000 N Main St Suite 227 Dayton OH 45415-1180
Phone: (513) 631-0763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57010570 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35-091584 Ohio

Profile Details

NPI number 1790989721
LBN Legal business name Rayborn, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Nov 27th, 2013 - about 13 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 1790989721 NPPES
Ohio MEDICAID 2969640
Ohio Other 57010570

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