Spade, Raymond K

Spade, Raymond K is an individual health care provider with primary practice located at 2240 Prairie Ave. , Beloit WI 53511. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Spade, Raymond K can be contacted via phone (608) 361-7200.

Contact Information

Primary practice address
2240 Prairie Ave. Beloit WI 53511
Phone: (608) 361-7200
Fax: (608) 361-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16737130 Wisconsin

Profile Details

NPI number 1821436973
LBN Legal business name Spade, Raymond K
Credentials SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Dec 30th, 2014 - about 12 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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