Raborn, Michael
Raborn, Michael is an individual health care provider with primary practice located at 311 E Matthews Ave , Jonesboro AR 72401-3125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Raborn, Michael can be contacted via phone (870) 935-4150.Contact Information
Primary practice address
311 E Matthews Ave
Jonesboro AR 72401-3125
Phone: (870) 935-4150
Fax: (870) 934-5264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | R-3452 | Arkansas |
Profile Details
| NPI number | 1225095094 |
|---|---|
| LBN Legal business name | Raborn, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 27th, 2007 - about 19 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 | 1225095094 | NPPES |
| Arkansas | MEDICAID | 111565001 |
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