Rainer, James Michael

Rainer, James Michael is an sole proprietor health care provider with primary practice located at 1815 Mission 66 , Vicksburg MS 39180-3709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Rainer, James Michael can be contacted via phone (601) 638-8801.

Contact Information

Primary practice address
1815 Mission 66 Vicksburg MS 39180-3709
Phone: (601) 638-8801
Fax: (601) 326-3537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R503886 Mississippi

Profile Details

NPI number 1669642096
LBN Legal business name Rainer, James Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2008
Last updated Jan 29th, 2009 - about 17 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 1669642096 NPPES
Mississippi MEDICAID 04833363

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