Raymond, Michael Lee

Raymond, Michael Lee is an individual health care provider with primary practice located at 3121 Spring Valley Rd , Oshkosh WI 54904-8809. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Pediatrics, Nursing Service Providers / School. Nursing Service Providers / General Practice is his primary health care specialty. Raymond, Michael Lee can be contacted via phone (920) 420-8377.

Contact Information

Primary practice address
3121 Spring Valley Rd Oshkosh WI 54904-8809
Phone: (920) 420-8377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X Wisconsin
Nursing Service Providers / Pediatrics 163WP0200X Wisconsin
Nursing Service Providers / School 163WS0200X Wisconsin

Profile Details

NPI number 1093776999
LBN Legal business name Raymond, Michael Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 9th, 2007 - 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 1093776999 NPPES
Wisconsin MEDICAID 38335100

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