Ngengwe, Raphael N
Ngengwe, Raphael N is an individual health care provider with primary practice located at 201 E Oak Ave , Jonesboro AR 72401-4163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Ngengwe, Raphael N can be contacted via phone (870) 935-6729.Contact Information
Primary practice address
201 E Oak Ave
Jonesboro AR 72401-4163
Phone: (870) 935-6729
Fax: (870) 268-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | E9433 | Arkansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14665 | South Dakota |
Profile Details
| NPI number | 1699865857 |
|---|---|
| LBN Legal business name | Ngengwe, Raphael N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Aug 21st, 2023 - 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 | 1699865857 | NPPES |
| Arkansas | MEDICAID | 1699865857 | |
| Arkansas | Other | E9433 |
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