Provider Demographics
NPI:1811129190
Name:RASING, RAYMUND (IDMT)
Entity type:Individual
Prefix:
First Name:RAYMUND
Middle Name:
Last Name:RASING
Suffix:
Gender:M
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 AMDS/SGPF
Mailing Address - Street 2:UNIT 2060
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96278-5300
Mailing Address - Country:US
Mailing Address - Phone:315-784-2618
Mailing Address - Fax:
Practice Address - Street 1:51 AMDS/SGPF
Practice Address - Street 2:UNIT 2060
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96278-5300
Practice Address - Country:US
Practice Address - Phone:315-784-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians