Justiz, Rafael
Justiz, Rafael is an individual health care provider with primary practice located at 4117 Nw 122Nd St Ste C , Oklahoma City OK 73120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Justiz, Rafael can be contacted via phone (405) 463-3380.Contact Information
Primary practice address
4117 Nw 122Nd St Ste C
Oklahoma City OK 73120
Phone: (405) 463-3380
Fax: (405) 463-5732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 27480 | Oklahoma |
Profile Details
| NPI number | 1043226384 |
|---|---|
| LBN Legal business name | Justiz, Rafael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 13th, 2023 - about last year |
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 | 1043226384 | NPPES |
| Oklahoma | MEDICAID | 200109590A |
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