Rayburn, John M
Rayburn, John M is an individual health care provider with primary practice located at 24 Norris St Emergency Dept, Eureka Springs AR 72632-3541. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Rayburn, John M can be contacted via phone (479) 253-7400.Contact Information
Primary practice address
24 Norris St Emergency Dept
Eureka Springs AR 72632-3541
Phone: (479) 253-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | C7959 | Arkansas |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | C7959 | Arkansas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C-7959 | Arkansas |
Profile Details
| NPI number | 1346275302 |
|---|---|
| LBN Legal business name | Rayburn, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 19th, 2019 - about 6 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 | 1346275302 | NPPES |
| Arkansas | Other | P00765216 | RRMCARE THRU WCMC |
| Arkansas | MEDICAID | 118261001 | RRMCARE THRU WCMC |
| Arkansas | Other | P01256888 | RRMCARE THRU WCMC |
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