Ampudia, Robert Joseph

Ampudia, Robert Joseph is an individual health care provider with primary practice located at 434 4Th St Ste 305 , Newport TN 37821-3735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ampudia, Robert Joseph can be contacted via phone (423) 623-0419.

Contact Information

Primary practice address
434 4Th St Ste 305 Newport TN 37821-3735
Fax: (423) 623-9543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46670 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101226304 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46670 Tennessee

Profile Details

NPI number 1437127610
LBN Legal business name Ampudia, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 21st, 2022 - about 2 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 1437127610 NPPES
Tennessee MEDICAID 1523862

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