Rayburn, Keith Stanfield
Rayburn, Keith Stanfield is an individual health care provider with primary practice located at 9515 Soquel Dr Ste 100 , Aptos CA 95003-4136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rayburn, Keith Stanfield can be contacted via phone (831) 661-6020.Contact Information
Primary practice address
9515 Soquel Dr Ste 100
Aptos CA 95003-4136
Phone: (831) 661-6020
Fax: (831) 688-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C50145 | California |
Profile Details
| NPI number | 1104845676 |
|---|---|
| LBN Legal business name | Rayburn, Keith Stanfield |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 8th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104845676 | NPPES |
| California | MEDICAID | 00C501450 |
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