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Contact Information

NICKLYA M HARRIS RAY, DPM
857 BROWNSWITCH RD # 136
SLIDELL, LA70458-5335
 Phone: 985-445-4654
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NICKLYA M HARRIS RAY · (Female)

NPI # 1609829472
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/19/2006
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E4806
  • LA License # DPM200002
  • LA Medicaid 1582671
  • LA Other P00440632 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
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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