Raisis, Irene
Raisis, Irene is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd Department Of Radiology, Newark DE 19718-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Raisis, Irene can be contacted via phone (302) 733-1806.Contact Information
Primary practice address
4755 Ogletown Stanton Rd Department Of Radiology
Newark DE 19718-2200
Phone: (302) 733-1806
Fax: (302) 733-1808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C1-0003191 | Delaware |
Profile Details
| NPI number | 1538128244 |
|---|---|
| LBN Legal business name | Raisis, Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Apr 3rd, 2013 - about 11 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 | 1538128244 | NPPES |
| Delaware | MEDICAID | 0000112101 | |
| Delaware | Other | 300027132 |
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