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
Phone: (405) 427-2441
Fax: (405) 427-4741
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285798793 | NPPES |
Oklahoma | MEDICAID | 100249180B |
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