Raycob, Timothy M
Raycob, Timothy M is an individual health care provider with primary practice located at 411 S Keeler, Ab-02-234C Phillips 66 Health Services, Bartlesville OK 74003-6670. 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. Raycob, Timothy M can be contacted via phone (918) 661-6811.Contact Information
Primary practice address
411 S Keeler, Ab-02-234C Phillips 66 Health Services
Bartlesville OK 74003-6670
Phone: (918) 661-6811
Fax: (918) 977-8005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04283 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2136 | Oklahoma |
Profile Details
NPI number | 1174594808 |
---|---|
LBN Legal business name | Raycob, Timothy M |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Aug 1st, 2012 - about 13 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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