Raley, Jennifer L

Raley, Jennifer L is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Raley, Jennifer L can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1295
Fax: (919) 350-8000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9901296 North Carolina

Profile Details

NPI number 1811959075
LBN Legal business name Raley, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 30th, 2021 - about 4 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 1811959075 NPPES
North Carolina Other 1268F BCBS
North Carolina Other 930102935 BCBS
North Carolina MEDICAID Q01296 BCBS
North Carolina MEDICAID 891268F BCBS

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