Albaugh, Eric Dane

Albaugh, Eric Dane is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Albaugh, Eric Dane can be contacted via phone (417) 820-2829.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2829
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2013007659 Missouri

Profile Details

NPI number 1184965212
LBN Legal business name Albaugh, Eric Dane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Oct 15th, 2021 - about 3 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 1184965212 NPPES
Missouri MEDICAID 1184965212
Missouri Other P01196869
Missouri Other 431560263
Missouri MEDICAID 197989001

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