Cornelison, Raymond L
Cornelison, Raymond L is an sole proprietor health care provider with primary practice located at 3727 Nw 63Rd St Ste 205 , Oklahoma City OK 73116-1923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Cornelison, Raymond L can be contacted via phone (405) 608-4494.Contact Information
Primary practice address
3727 Nw 63Rd St Ste 205
Oklahoma City OK 73116-1923
Phone: (405) 608-4494
Fax: (405) 608-4504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 9074 | Oklahoma |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 9074 | Oklahoma |
Profile Details
| NPI number | 1003884339 |
|---|---|
| LBN Legal business name | Cornelison, Raymond L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Apr 23rd, 2015 - about 10 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 | 1003884339 | NPPES |
| Oklahoma | Other | 1528364304 | GROUP NPI |
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