Jeffrey, Jay Raleigh

Jeffrey, Jay Raleigh is an sole proprietor health care provider with primary practice located at 253 Virginia Dr , Batesville AR 72501-7335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jeffrey, Jay Raleigh can be contacted via phone (870) 569-8179.

Contact Information

Primary practice address
253 Virginia Dr Batesville AR 72501-7335
Fax: (870) 569-8109
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E0374 Arkansas

Profile Details

NPI number 1063480168
LBN Legal business name Jeffrey, Jay Raleigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jul 7th, 2021 - about 5 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 1063480168 NPPES
Arkansas MEDICAID 127204001

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