Mccabe, Johnny Ray

Mccabe, Johnny Ray is an individual health care provider with primary practice located at 3 E Clark Bass Blvd Suite 2, Mcalester OK 74501-4283. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccabe, Johnny Ray can be contacted via phone (918) 421-6960.

Contact Information

Primary practice address
3 E Clark Bass Blvd Suite 2 Mcalester OK 74501-4283
Phone: (918) 421-6960
Fax: (918) 421-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1244 Oklahoma

Profile Details

NPI number 1912960196
LBN Legal business name Mccabe, Johnny Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 28th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912960196 NPPES
Oklahoma Other 1324230001 PALMETTO DME
Oklahoma Other J MCCABE PA PALMETTO DME
Oklahoma Other P00090959 PALMETTO DME
Oklahoma MEDICAID 200005680B PALMETTO DME
Oklahoma Other 200005680C PALMETTO DME

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