Raney, Jennifer J

Raney, Jennifer J is an individual health care provider with primary practice located at 1 Randall Sq , Providence RI 02904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raney, Jennifer J can be contacted via phone (401) 274-6339.

Contact Information

Primary practice address
1 Randall Sq Providence RI 02904
Phone: (401) 274-6339
Fax: (401) 453-6290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 213376 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10860 Rhode Island

Profile Details

NPI number 1225084064
LBN Legal business name Raney, Jennifer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225084064 NPPES
Rhode Island MEDICAID 7058724
Rhode Island MEDICAID 2028298

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