Warden, Vance Ray

Warden, Vance Ray is an sole proprietor health care provider with primary practice located at 19621 Hwy 63 , Moss Point MS 39562. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Warden, Vance Ray can be contacted via phone (228) 588-0188.

Contact Information

Primary practice address
19621 Hwy 63 Moss Point MS 39562
Fax: (228) 588-9184
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0113056 Mississippi
Chiropractic Providers / Chiropractor 111N00000X 0987 Mississippi

Profile Details

NPI number 1801928700
LBN Legal business name Warden, Vance Ray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Mar 11th, 2022 - about 4 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 1801928700 NPPES
Mississippi Other 350000283 PTAN
Mississippi MEDICAID 00123522 PTAN

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