Raizen, John

Raizen, John is an individual health care provider with primary practice located at 2601 Spencer Rd , Spencer OK 73084-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Raizen, John can be contacted via phone (405) 427-2441.

Contact Information

Primary practice address
2601 Spencer Rd Spencer OK 73084-3649
Fax: (405) 427-4741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 19490 Oklahoma

Profile Details

NPI number 1285798793
LBN Legal business name Raizen, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 21st, 2017 - about 7 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 1285798793 NPPES
Oklahoma MEDICAID 100249180B

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