Ralston, Jeffrey John

Ralston, Jeffrey John is an individual health care provider with primary practice located at 3623 Latrobe Dr Ste 216 , Charlotte NC 28211-2117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ralston, Jeffrey John can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Ste 216 Charlotte NC 28211-2117
Phone: (704) 332-1291
Fax: (704) 926-1832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200400578 North Carolina
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 2004-00578 North Carolina

Profile Details

NPI number 1275538449
LBN Legal business name Ralston, Jeffrey John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 13th, 2020 - 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 1275538449 NPPES
North Carolina MEDICAID 1275538449
North Carolina MEDICAID 89137J0

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