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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043540594 NPPES
Oklahoma Other 544235569A MEDICARE OKLAHOMA CLAIM NUMBER FOR JEFFREY ROSE

Popular Providers