Individual provider · Type 1 NPI
Jeffery Lynn Ingram, R.EEG/EPT, CNIM
Electroneurodiagnostic Specialist/Technologist · Raymore, MO
NPI number
1255650099
Active
Practice location
205 N Park Dr
Raymore, MO 64083-9186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 899 (MO) |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 477 (MO) |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 2112 (MO) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1255650099
Jeffery Lynn Ingram, R.EEG/EPT, CNIM's National Provider Identifier is 1255650099, issued on May 19, 2010. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Raymore, MO. The record was last updated on May 19, 2010.