Carolla, Robert L

Carolla, Robert L is an individual health care provider with primary practice located at 3850 S National Ave Suite 600, Springfield MO 65807-5287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carolla, Robert L can be contacted via phone (417) 882-4880.

Contact Information

Primary practice address
3850 S National Ave Suite 600 Springfield MO 65807-5287
Phone: (417) 882-4880
Fax: (417) 882-7843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R4802 Missouri

Profile Details

NPI number 1225006828
LBN Legal business name Carolla, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 29th, 2007 - about 18 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 1225006828 NPPES
Missouri Other 17951 ANTHEM BCBS
Missouri Other 0628420001 ANTHEM BCBS
Missouri Other 3640001 ANTHEM BCBS

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