Individual
DR. RAYMOND SCOTT NANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 W JACKSON ST, MUNCIE, IN 47305-1554
(765) 288-3276
(765) 289-2389
Mailing address
PO BOX 730, FISHERS, IN 46038-0730
(317) 219-5409
(317) 219-3151
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
08001557A
IN
207Q00000X
Family Medicine Physician
01045317A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01045317A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042680A
—
IN
05
—
200149200A
—
IN
Enumeration date
06/28/2006
Last updated
04/30/2015
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