Provider Demographics
NPI:1689813917
Name:RAYMOND S SIGNORE
Entity Type:Organization
Organization Name:RAYMOND S SIGNORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIGNORE
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:901-756-2464
Mailing Address - Street 1:6987 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1501
Mailing Address - Country:US
Mailing Address - Phone:901-756-2464
Mailing Address - Fax:901-683-3915
Practice Address - Street 1:6987 BENT CREEK DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1501
Practice Address - Country:US
Practice Address - Phone:901-756-2464
Practice Address - Fax:901-683-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN110900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty