Albaugh, Rickey D

Albaugh, Rickey D is an individual health care provider with primary practice located at 3045 S National Ave Suite 100, Springfield MO 65804-4247. 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, Rickey D can be contacted via phone (417) 882-1900.

Contact Information

Primary practice address
3045 S National Ave Suite 100 Springfield MO 65804-4247
Phone: (417) 882-1900
Fax: (417) 882-1966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 058813 Missouri

Profile Details

NPI number 1225015720
LBN Legal business name Albaugh, Rickey D
Credentials R.N., C.R.N.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Nov 26th, 2007 - about 17 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 1225015720 NPPES
Missouri Other 058813 STATE LICENSE

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