Burroughs, Ralph Lane

Burroughs, Ralph Lane is an sole proprietor health care provider with primary practice located at 8990 Lorraine Rd , Gulfport MS 39503-4176. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Burroughs, Ralph Lane can be contacted via phone (228) 331-3310.

Contact Information

Primary practice address
8990 Lorraine Rd Gulfport MS 39503-4176
Phone: (228) 331-3310
Fax: (228) 284-1608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R855758 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R855758 Mississippi

Profile Details

NPI number 1760674949
LBN Legal business name Burroughs, Ralph Lane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Apr 24th, 2023 - about last year

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 1760674949 NPPES
Mississippi Other R855758 NURSING LISCENSE

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