Raymond E Stidd
Primary Podiatric Medicine
115 E 2nd St
Bloomington
, Indiana 47401-5187
Raymond E Stidd
Primary Podiatric Medicine
115 E 2nd St
Bloomington
, Indiana 47401-5187
(866) 897-5366
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Raymond E Stidd
- 115 E 2nd St
- Bloomington, IN
- Zip : 47401-5187
- Fax : (866) 897-5366
- Phone : (800) 353-5420
Second Address
- Raymond E Stidd
- 115 E 2nd St
- Bloomington, IN
- Zip : 47401-5187
- Fax : (866) 897-5366
- Phone : (800) 353-5420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 280-B | IN |
National Provider Identifier
| NPI | 1396862447 |
|---|---|
| Provider Name | Raymond E Stidd |
| First Address | Bloomington, IN 47401-5187 |
| Second Address | Bloomington, IN 47401-5187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2007 |
| Last Update Date | 24/04/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.