Ray, Linda Ilene

Ray, Linda Ilene is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Ray, Linda Ilene can be contacted via phone (601) 984-2944.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 10007 Mississippi

Profile Details

NPI number 1316983760
LBN Legal business name Ray, Linda Ilene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 1st, 2014 - 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 1316983760 NPPES
Mississippi MEDICAID 00111382
Mississippi MEDICAID 1660817
Mississippi MEDICAID 157381

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