Raggio, Donald Joseph

Raggio, Donald Joseph is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Raggio, Donald Joseph can be contacted via phone (601) 984-5236.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10135 Mississippi
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 10135 Mississippi

Profile Details

NPI number 1134159387
LBN Legal business name Raggio, Donald Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 13th, 2012 - about 13 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 1134159387 NPPES
Mississippi MEDICAID 00010179

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