Taetle, Raymond
Taetle, Raymond is an individual health care provider with primary practice located at 603 N Wilmot Rd Ste 151, Tucson AZ 85711-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Taetle, Raymond can be contacted via phone (520) 886-0206.Contact Information
Primary practice address
603 N Wilmot Rd Ste 151
Tucson AZ 85711-2701
Phone: (520) 886-0206
Fax: (520) 886-0829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 20032 | Arizona |
Profile Details
| NPI number | 1326002411 |
|---|---|
| LBN Legal business name | Taetle, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Sep 9th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326002411 | NPPES |
| Arizona | MEDICAID | 011552 |
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