Rackley, Angela

Rackley, Angela is an individual health care provider with primary practice located at 1711 27Th St Ste 103A , Portsmouth OH 45662-2654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Rackley, Angela can be contacted via phone (740) 356-6740.

Contact Information

Primary practice address
1711 27Th St Ste 103A Portsmouth OH 45662-2654
Phone: (740) 356-6740
Fax: (740) 355-9281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.090802 Ohio
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 35-090802 Ohio

Profile Details

NPI number 1619178621
LBN Legal business name Rackley, Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Dec 17th, 2020 - about 5 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 1619178621 NPPES
Ohio MEDICAID 2800508
Ohio MEDICAID 7100179190
Ohio Other P00981133

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