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Contact Information

ANGELA Y RACKLEY, MD
1611 27TH ST STE 302
PORTSMOUTH, OH45662-6932
 Phone: 740-356-6750
 Fax: 740-356-7819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ANGELA Y RACKLEY · (Female)

NPI Number 1619178621
Status Active
Credentials MD
Entity Individual
Enumeration date 05/29/2007
Last updated 06/27/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-090802
  • OH License # 35.090802
  • KY Medicaid 7100179190
  • OH Medicaid 2800508
  • KY Other P00981133 RAILROAD MEDICARE
Hospital affiliation(s)
  • RIVERSIDE METHODIST HOSPITAL - (Acute Care)
    3535 OLENTANGY RIVER RD
    COLUMBUS, OH 43214
  • SOUTHERN OHIO MEDICAL CENTER - (Acute Care)
    1805 27TH STREET
    PORTSMOUTH, OH 45662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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