Ray, Jacqueline R
Ray, Jacqueline R is an individual health care provider with primary practice located at 2915 3Rd Ave , Huntington WV 25702-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ray, Jacqueline R can be contacted via phone (304) 525-6235.Contact Information
Primary practice address
2915 3Rd Ave
Huntington WV 25702-1401
Phone: (304) 525-6235
Fax: (304) 525-6238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19494 | West Virginia |
Profile Details
| NPI number | 1891759759 |
|---|---|
| LBN Legal business name | Ray, Jacqueline R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Dec 1st, 2021 - about 3 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 | 1891759759 | NPPES |
| Kentucky | MEDICAID | 64942964 | |
| Kentucky | MEDICAID | 2134747 | |
| Kentucky | MEDICAID | 0111707000 |
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