Rosales, Raymundo Federico

Rosales, Raymundo Federico is an individual health care provider with primary practice located at 2512 Q St Suite B, Bedford IN 47421-4928. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Other Service Providers / Specialist is his primary health care specialty. Rosales, Raymundo Federico can be contacted via phone (812) 277-0075.

Contact Information

Primary practice address
2512 Q St Suite B Bedford IN 47421-4928
Phone: (812) 277-0075
Fax: (812) 277-0089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01061216A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01061216A Indiana

Profile Details

NPI number 1245255959
LBN Legal business name Rosales, Raymundo Federico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 30th, 2009 - about 17 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 1245255959 NPPES
Indiana Other 000000594475 BLUE SHIELD
Indiana MEDICAID 200528920 BLUE SHIELD
Indiana MEDICAID 200528920A BLUE SHIELD

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