Rael, Jesse
Rael, Jesse is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rael, Jesse can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 86312 | New Mexico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 86312 | New Mexico |
Profile Details
| NPI number | 1265455505 |
|---|---|
| LBN Legal business name | Rael, Jesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 11th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265455505 | NPPES |
| New Mexico | MEDICAID | E4999 |
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