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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225095094 NPPES
Arkansas MEDICAID 111565001

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