Abernathy, Bob R

Abernathy, Bob R is an individual health care provider with primary practice located at 1200 N Glenn English , Cordell OK 73632-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abernathy, Bob R can be contacted via phone (580) 832-3838.

Contact Information

Primary practice address
1200 N Glenn English Cordell OK 73632-2010
Fax: (580) 832-5119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2075 Oklahoma

Profile Details

NPI number 1114920071
LBN Legal business name Abernathy, Bob R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 18th, 2016 - about 8 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 1114920071 NPPES
Oklahoma MEDICAID 100101100A
Oklahoma Other 100101100C
Oklahoma Other 125307900
Oklahoma Other 08013806
Oklahoma Other 321802700

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