Bost, Roger Kingsley
Bost, Roger Kingsley is an individual health care provider with primary practice located at 686 Lester St , Poplar Bluff MO 63901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bost, Roger Kingsley can be contacted via phone (573) 686-2411.Contact Information
Primary practice address
686 Lester St
Poplar Bluff MO 63901
Phone: (573) 686-2411
Fax: (573) 686-8452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 101937 | Missouri |
Profile Details
| NPI number | 1881672418 |
|---|---|
| LBN Legal business name | Bost, Roger Kingsley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Nov 2nd, 2015 - about 9 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 | 1881672418 | NPPES |
| Arkansas | MEDICAID | 103885001 | |
| Arkansas | MEDICAID | 203450408 |
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