Blubaugh, Richard Marvin

Blubaugh, Richard Marvin is an sole proprietor health care provider with primary practice located at 1102 West 32Nd Street , Joplin MO 64804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blubaugh, Richard Marvin can be contacted via phone (417) 347-1111.

Contact Information

Primary practice address
1102 West 32Nd Street Joplin MO 64804
Fax: (417) 347-2149
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2003011617 Missouri

Profile Details

NPI number 1083654099
LBN Legal business name Blubaugh, Richard Marvin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Mar 2nd, 2017 - about 8 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 1083654099 NPPES
Oklahoma Other 10028900A MEDICAID
Oklahoma Other 2046421021 MEDICAID
Oklahoma MEDICAID 243419306 MEDICAID
Oklahoma Other 906020147 MEDICAID

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