Wray, Jesse Phillip

Wray, Jesse Phillip is an individual health care provider with primary practice located at Jber Emergency Department 5955 Zeamer Ave, Elmendorf Afb AK 99506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wray, Jesse Phillip can be contacted via phone (870) 514-6421.

Contact Information

Primary practice address
Jber Emergency Department 5955 Zeamer Ave Elmendorf Afb AK 99506
Phone: (870) 514-6421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 175597 Alaska

Profile Details

NPI number 1679076988
LBN Legal business name Wray, Jesse Phillip
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Jan 20th, 2024 - about last year

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 1679076988 NPPES
Alaska MEDICAID 1726717

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