Rackley, Angela
Rackley, Angela is an individual health care provider with primary practice located at 1711 27Th St Ste 103A , Portsmouth OH 45662-2654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Rackley, Angela can be contacted via phone (740) 356-6740.Contact Information
Primary practice address
1711 27Th St Ste 103A
Portsmouth OH 45662-2654
Phone: (740) 356-6740
Fax: (740) 355-9281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35.090802 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 35-090802 | Ohio |
Profile Details
| NPI number | 1619178621 |
|---|---|
| LBN Legal business name | Rackley, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Dec 17th, 2020 - about 6 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 | 1619178621 | NPPES |
| Ohio | MEDICAID | 2800508 | |
| Ohio | MEDICAID | 7100179190 | |
| Ohio | Other | P00981133 |
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