Wells, Ralph P

Wells, Ralph P is an individual health care provider with primary practice located at 1860 Chadwick Dr Suite B, Jackson MS 39204-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wells, Ralph P can be contacted via phone (601) 373-6441.

Contact Information

Primary practice address
1860 Chadwick Dr Suite B Jackson MS 39204-3463
Phone: (601) 373-6441
Fax: (601) 373-5715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10054 Mississippi

Profile Details

NPI number 1265439228
LBN Legal business name Wells, Ralph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Mar 22nd, 2010 - about 14 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 1265439228 NPPES
Mississippi MEDICAID 00115210
Mississippi Other 110048071

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