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
Phone: (580) 832-3838
Fax: (580) 832-5119
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1114920071 | NPPES |
| Oklahoma | MEDICAID | 100101100A | |
| Oklahoma | Other | 100101100C | |
| Oklahoma | Other | 125307900 | |
| Oklahoma | Other | 08013806 | |
| Oklahoma | Other | 321802700 |
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