Rayburn, Dave M.

Rayburn, Dave M. is an individual health care provider with primary practice located at 390 Griffith St. , Pineville LA 71360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rayburn, Dave M. can be contacted via phone (318) 443-6323.

Contact Information

Primary practice address
390 Griffith St. Pineville LA 71360
Fax: (318) 443-6189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16870 Louisiana

Profile Details

NPI number 1154412856
LBN Legal business name Rayburn, Dave M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Dec 10th, 2008 - about 18 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 1154412856 NPPES
Louisiana MEDICAID 1353787

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