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
Fax: (302) 733-1808
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538128244 NPPES
Delaware MEDICAID 0000112101
Delaware Other 300027132

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