Wacker, Raymond J

Wacker, Raymond J is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis MO 63110-1003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wacker, Raymond J can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Dept Anesthesiology Saint Louis MO 63110-1003
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2011013111 Missouri

Profile Details

NPI number 1194018267
LBN Legal business name Wacker, Raymond J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated Apr 25th, 2024 - about last year

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 1194018267 NPPES
Missouri MEDICAID 915639801

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