Sanders, Raymond Joseph
Sanders, Raymond Joseph is an individual health care provider with primary practice located at 6151 S Yale Ave Level B, Tulsa OK 74136-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Sanders, Raymond Joseph can be contacted via phone (918) 502-6044.Contact Information
Primary practice address
6151 S Yale Ave Level B
Tulsa OK 74136-1907
Phone: (918) 502-6044
Fax: (918) 502-6046
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 25452 | Oklahoma |
Profile Details
NPI number | 1063479053 |
---|---|
LBN Legal business name | Sanders, Raymond Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Feb 13th, 2013 - about 11 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 | 1063479053 | NPPES |
Arkansas | MEDICAID | 165489001 | |
Arkansas | MEDICAID | 200104900A | |
Arkansas | MEDICAID | 206347304 | |
Arkansas | MEDICAID | 200461180A |
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