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
Phone: (228) 588-0188
Fax: (228) 588-9184
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801928700 | NPPES |
| Mississippi | Other | 350000283 | PTAN |
| Mississippi | MEDICAID | 00123522 | PTAN |
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