Gonzales, Raymond Lee
Gonzales, Raymond Lee is an sole proprietor health care provider with primary practice located at 1623 S 128Th East Ave , Tulsa OK 74128-6025. He recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Gonzales, Raymond Lee can be contacted via phone (918) 437-8156.Contact Information
Primary practice address
1623 S 128Th East Ave
Tulsa OK 74128-6025
Phone: (918) 437-8156
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | 37V840760399 | Oklahoma |
Nursing Service Related Providers / Nurse's Aide | 376K00000X | 37V615640107 | Oklahoma |
Nursing Service Related Providers / Chore Provider | 372500000X | 37V840760399 | Oklahoma |
Nursing Service Related Providers / Adult Companion | 372600000X | 37V840760399 | Oklahoma |
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | 320178900107 | Oklahoma |
Profile Details
NPI number | 1043540594 |
---|---|
LBN Legal business name | Gonzales, Raymond Lee |
Credentials | CMA-I, CNA, HHA,DDCA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2010 |
Last updated | Jan 6th, 2010 - about 14 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 | 1043540594 | NPPES |
Oklahoma | Other | 544235569A | MEDICARE OKLAHOMA CLAIM NUMBER FOR JEFFREY ROSE |
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