Cyril A Raben Mdpa

LBN: Cyril A Raben Mdpa
Cyril A Raben Mdpa is an health care organization with primary practice located at 350 E Millsap Rd , Fayetteville AR 72703-4098. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cyril A Raben Mdpa can be contacted via phone (479) 442-4495, or through Raben, Cindy Kay via phone (479) 442-4495.

Contact Information

Primary practice address
350 E Millsap Rd Fayetteville AR 72703-4098
Phone: (479) 442-4495
Fax: (479) 442-8178
Website:
Map and Directions
Authorized official contact:
Name: Raben, Cindy Kay
Phone: (479) 442-4495

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N7877 Arkansas

Profile Details

NPI number 1689728974
LBN Legal business name Cyril A Raben Mdpa
DBA Doing business as
Authorized official Raben, Cindy Kay
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Oct 30th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689728974 NPPES
Arkansas Other 5C794 BCBS

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