Abraham, Ralph E

Abraham, Ralph E is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Abraham, Ralph E can be contacted via phone (601) 268-5660.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 05080 Mississippi

Profile Details

NPI number 1013931674
LBN Legal business name Abraham, Ralph E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 23rd, 2016 - about 8 years ago

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 1013931674 NPPES
Mississippi Other 1558916 AMERICAN ADMIN GROUP
Mississippi Other 332920374 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00012609 AMERICAN ADMIN GROUP

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